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General NPI Number Information
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NPI Number | 1790127983
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Entity Type | Organization
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Legal Business Name | MCCORTNEY FAMILY HOSPICE
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Dates
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Enumeration Date | 07/29/2013
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 623 N PORTER AVE SUITED 200
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City | NORMAN
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State | OK
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Zip | 73071-6072
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Country | US
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Telephone | 580-360-2400
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Fax | 580-360-2402
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Provider Business Mailing Address
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Address Line | 623 N PORTER AVE SUITED 200
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City | NORMAN
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State | OK
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Zip | 73071-6072
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Country | US
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Telephone | 580-360-2400
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Fax | 580-360-2402
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GREGORY MCCORTNEY
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Credential |
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Telephone | 580-332-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | H04292
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License Number State | OK
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