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General NPI Number Information
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NPI Number | 1760317952
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Entity Type | Organization
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Legal Business Name | TRADITIONS HEALTH CARE OF PURCELL, LLC
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 511 E MAIN ST STE B
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City | DAVIS
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State | OK
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Zip | 73030-1909
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Country | US
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Telephone | 580-226-3166
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Fax | 580-226-5901
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Provider Business Mailing Address
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Address Line | 8150 N CENTRAL EXPY STE 1800
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City | DALLAS
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State | TX
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Zip | 75206-1883
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Country | US
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Telephone | 469-839-3777
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Fax |
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Authorized Official
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Title or Position | CFO/CAO
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Name | CHRIS WALKER
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Credential |
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Telephone | 469-839-3706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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