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NPI 1821434747

NPI 1821434747 : GENTLE TOUCH COMPANION CARE, INC : NORMAN, OK

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General NPI Number Information
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    NPI Number           |    1821434747
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENTLE TOUCH COMPANION CARE, INC 
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Dates
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    Enumeration Date     |    05/19/2013
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    Last Update Date     |    05/19/2013
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Provider Practice Location Address
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    Address Line         |    320 W MAIN ST SUITE E
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-1354
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    Country              |    US
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    Telephone            |    405-310-4000
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    Fax                  |    405-310-4664
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Provider Business Mailing Address
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    Address Line         |    320 W MAIN ST SUITE E
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-1354
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    Country              |    US
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    Telephone            |    405-310-4000
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    Fax                  |    405-310-4664
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Authorized Official
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    Title or Position    |    OWNER/ADMINISTRATOR
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    Name                 |    MS. MARCIA LYNN CROOK 
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    Credential           |    
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    Telephone            |    405-310-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    7952
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    License Number State |    OK
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