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General NPI Number Information
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NPI Number | 1740379650
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICAL SERVICES OF LEFLORE COUNTY
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1215 S. BROADWAY AVENUE
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City | POTEAU
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State | OK
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Zip | 74953-1025
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Country | US
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Telephone | 918-647-9270
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Fax | 918-647-8525
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Provider Business Mailing Address
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Address Line | PO BOX 1025
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City | POTEAU
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State | OK
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Zip | 74953-1025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. ALICIA PETREE
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Credential |
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Telephone | 918-635-3632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | EMS303
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License Number State | OK
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