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General NPI Number Information
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NPI Number | 1780031898
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Entity Type | Organization
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Legal Business Name | T&C HEALTH SERVICES
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 511 N HIGHLAND ST
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City | SEMINOLE
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State | OK
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Zip | 74868-3243
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Country | US
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Telephone | 405-833-0618
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Fax |
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Provider Business Mailing Address
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Address Line | 511 N HIGHLAND ST
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City | SEMINOLE
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State | OK
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Zip | 74868-3243
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Country | US
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Telephone | 405-833-0618
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LARRY CHURCH
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Credential | RN
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Telephone | 405-833-0618
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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 | 002733
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 002733
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License Number State | OK
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