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General NPI Number Information
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NPI Number | 1730454000
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Entity Type | Organization
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Legal Business Name | ADVOCATE HOME HEALTH CARE INC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 4501 N CLASSEN BLVD STE 102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-4822
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Country | US
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Telephone | 405-242-2788
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Fax | 405-242-2798
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Provider Business Mailing Address
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Address Line | 4501 N CLASSEN BLVD STE 102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-4822
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Country | US
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Telephone | 405-242-2788
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Fax | 405-242-2798
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Authorized Official
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Title or Position | FACILITY ADMINISTRATOR
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Name | MR. DIVINE BABILA TITAJANI
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Credential | RN
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Telephone | 405-242-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7988
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License Number State | OK
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