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General NPI Number Information
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NPI Number | 1750891149
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Entity Type | Organization
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Legal Business Name | ANADARKO NURSING & REHABILITATION LLC
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 300 WEST WASHINGTON
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City | ANADARKO
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State | OK
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Zip | 73005
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Country | US
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Telephone | 405-247-3346
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Fax | 405-247-5635
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Provider Business Mailing Address
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Address Line | 9 PROFESSIONAL DR
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City | BELLA VISTA
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State | AR
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Zip | 72715-8462
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Country | US
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Telephone | 479-715-6759
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Fax | 479-715-6922
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Authorized Official
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Title or Position | MEMBER
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Name | BRADFORD MONTGOMERY
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Credential |
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Telephone | 479-715-6759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | NH0805
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License Number State | OK
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