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General NPI Number Information
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NPI Number | 1811980154
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Entity Type | Organization
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Legal Business Name | CENTRAL OKLAHOMA AMERICAN INDIAN HEALTH COUNCIL, INC.
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 4913 W RENO AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6339
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Country | US
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Telephone | 405-948-4900
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Fax | 405-948-4929
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Provider Business Mailing Address
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Address Line | 4913 W RENO AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73127-6339
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Country | US
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Telephone | 405-948-4900
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Fax | 405-948-4929
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. ROBYN R SUNDAY-ALLEN
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Credential | RN, MPH
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Telephone | 405-948-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 14183
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License Number State | OK
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