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General NPI Number Information
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NPI Number | 1740316140
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Entity Type | Organization
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Legal Business Name | TRANQUILITY HOSPICE LLC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1145 S UTICA AVE 900
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City | TULSA
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State | OK
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Zip | 74104-4000
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Country | US
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Telephone | 918-579-5792
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Fax | 918-579-5769
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Provider Business Mailing Address
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Address Line | 1145 S UTICA AVE 900
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City | TULSA
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State | OK
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Zip | 74104-4000
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Country | US
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Telephone | 918-579-5792
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Fax | 918-579-5769
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. FARSHID ADAM ZANDI
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Credential | M.D.
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Telephone | 918-809-6205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 4249
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License Number State | OK
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