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General NPI Number Information
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NPI Number | 1720022379
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Entity Type | Organization
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Legal Business Name | COMANCHE COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 3401 WEST GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73502-0129
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Country | US
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Telephone | 580-355-8620
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Fax | 580-250-6458
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | LAWTON
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State | OK
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Zip | 73502-0129
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Country | US
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Telephone | 580-355-8620
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Fax | 580-250-6458
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Authorized Official
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Title or Position | CEO
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Name | MR. BRENT SMITH
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Credential |
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Telephone | 580-585-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2237
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License Number State | OK
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