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General NPI Number Information
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NPI Number | 1831266907
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Entity Type | Organization
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Legal Business Name | OAKS MISSION SCHOOL
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 357 W MAIN
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City | OAKS
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State | OK
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Zip | 74359-0160
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Country | US
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Telephone | 918-868-2499
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 160
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City | OAKS
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State | OK
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Zip | 74359-0160
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Country | US
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Telephone | 918-868-2499
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FEDERAL PROGRAMS
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Name | MRS. TERRY BROCK
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Credential | M.ED.
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Telephone | 918-868-2499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 2901
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License Number State | OK
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