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General NPI Number Information
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NPI Number | 1740395409
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S CENTER, INC.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 6800 NW 39TH EXPY
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City | BETHANY
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State | OK
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Zip | 73008-2513
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Country | US
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Telephone | 405-789-6711
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Fax | 405-789-0690
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Provider Business Mailing Address
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Address Line | 6800 NW 39TH EXPY
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City | BETHANY
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State | OK
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Zip | 73008-2513
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Country | US
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Telephone | 405-789-6711
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Fax | 405-789-0690
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Authorized Official
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Title or Position | CEO
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Name | MR. NICO D GOMEZ
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Credential |
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Telephone | 405-789-6711
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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 | 2340
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State |
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