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General NPI Number Information
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NPI Number | 1821276445
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Entity Type | Organization
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Legal Business Name | CREEK NATION HOSPITAL & CLINICS
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 309 N 14TH ST
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City | OKEMAH
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State | OK
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Zip | 74859-2028
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Country | US
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Telephone | 918-623-1424
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1312 FNB DEPT 001
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City | OKMULGEE
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State | OK
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Zip | 74447-1312
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Country | US
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Telephone | 918-756-4333
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Fax | 918-756-3993
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JUDY AARON
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Credential |
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Telephone | 918-756-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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