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General NPI Number Information
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NPI Number | 1801997812
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Entity Type | Organization
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Legal Business Name | ONHL MEDICAL HOME HEALTH SERVICES
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 124 E BROADWAY ST
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City | DRUMRIGHT
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State | OK
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Zip | 74030-3802
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Country | US
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Telephone | 918-352-9220
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Fax | 918-352-9626
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Provider Business Mailing Address
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Address Line | PO BOX 1216
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City | DRUMRIGHT
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State | OK
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Zip | 74030-1216
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Country | US
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Telephone | 918-352-9220
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Fax | 918-352-9220
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Authorized Official
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Title or Position | BUSINESS MANAGEMENT
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Name | MR. JUSTIN MCGREW
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Credential |
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Telephone | 918-775-4439
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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 | LICENSE#
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License Number State | OK
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