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General NPI Number Information
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NPI Number | 1750986295
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Entity Type | Organization
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Legal Business Name | MERCY CLINIC OKLAHOMA COMMUNITIES
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Dates
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Enumeration Date | 12/02/2020
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 4300 W MEMORIAL RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-8304
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Country | US
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Telephone | 405-936-5226
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 776066
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City | CHICAGO
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State | IL
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Zip | 60677-6066
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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 | CFO
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Name | CHRIS HAHNE
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Credential |
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Telephone | 405-936-5649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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