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General NPI Number Information
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NPI Number | 1821057134
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE OF OKLAHOMA CITY, INC
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 3613 NW 56TH ST STE 385
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4531
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Country | US
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Telephone | 405-848-3555
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Fax | 405-842-4629
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Provider Business Mailing Address
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Address Line | 3613 NW 56TH ST STE 385
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4531
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Country | US
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Telephone | 405-848-3555
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Fax | 405-842-4629
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH S JOHNSON
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Credential |
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Telephone | 405-848-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 371635
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 377658
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License Number State | OK
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