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General NPI Number Information
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NPI Number | 1790473502
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Entity Type | Organization
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Legal Business Name | COMMUNITY NURSING CENTER OF OKLAHOMA CITY, LLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 329 WHITE ST
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City | NORMAN
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State | OK
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Zip | 73069-5748
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Country | US
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Telephone | 405-848-0026
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Fax | 405-497-6789
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Provider Business Mailing Address
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Address Line | 1211 N SHARTEL AVE STE 300
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2425
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Country | US
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Telephone | 405-848-0026
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Fax | 405-497-6789
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Authorized Official
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Title or Position | RCM MANAGER
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Name | TRACY MICHELLE HOLT
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Credential |
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Telephone | 405-407-7661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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