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General NPI Number Information
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NPI Number | 1790192631
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Entity Type | Organization
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Legal Business Name | VETERANS ADMINISTRATION MEDICAL CENTER
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Dates
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Enumeration Date | 07/11/2014
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Last Update Date | 07/11/2014
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Provider Practice Location Address
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Address Line | 863 RAMBLING OAKS DR
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City | NORMAN
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State | OK
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Zip | 73072-4186
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Country | US
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Telephone | 405-473-5966
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Fax |
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Provider Business Mailing Address
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Address Line | 412 S.W. 145TH STREET
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City | OKLAHOMA CITY
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State | OK
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Zip | 73170
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Country | US
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Telephone | 405-473-5966
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | LYNN MICHELLE SPURLOCK
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Credential | RN
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Telephone | 405-473-5966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | OK
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