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General NPI Number Information
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NPI Number | 1821670191
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Entity Type | Organization
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Legal Business Name | CHOICE HOME HEALTH OF OKLAHOMA LLC
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 418 W MACARTHUR ST
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City | SHAWNEE
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State | OK
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Zip | 74804-1910
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Country | US
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Telephone | 405-275-8300
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Fax | 405-275-8303
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Provider Business Mailing Address
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Address Line | 6760 OLD JACKSONVILLE HWY STE 101
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City | TYLER
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State | TX
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Zip | 75703-0566
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Country | US
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Telephone | 903-363-9932
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Fax | 817-326-2436
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Authorized Official
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Title or Position | GOVERNING MEMBER
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Name | KATRINA DAWN LANIER
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Credential |
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Telephone | 903-363-9932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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