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General NPI Number Information
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NPI Number | 1811896277
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Entity Type | Organization
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Legal Business Name | RIVERCROSS PALLIATIVE CARE, LLC
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 4111 S DARLINGTON AVE STE 1000
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City | TULSA
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State | OK
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Zip | 74135-6380
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Country | US
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Telephone | 918-622-9281
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Fax | 918-513-7539
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Provider Business Mailing Address
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Address Line | PO BOX 781097
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City | WICHITA
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State | KS
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Zip | 67278-1097
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Country | US
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Telephone | 918-622-9281
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Fax | 918-513-7539
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Authorized Official
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Title or Position | CEO
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Name | MARK ROWE
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Credential |
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Telephone | 316-210-3046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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