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General NPI Number Information
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NPI Number | 1780471847
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Entity Type | Organization
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Legal Business Name | STILLWATER MEDICAL CENTER AUTHORITY
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1323 W 6TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-4306
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Country | US
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Telephone | 405-372-1480
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 W 6TH AVE
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City | STILLWATER
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State | OK
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Zip | 74074-4306
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Country | US
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Telephone | 405-372-1480
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DENISE ADRIENNE WEBBER
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Credential |
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Telephone | 405-742-5230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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