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General NPI Number Information
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NPI Number | 1841601051
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Entity Type | Organization
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Legal Business Name | COUNTY OF CREEK
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Dates
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Enumeration Date | 05/12/2014
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 144 S ELM
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City | KELLYVILLE
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State | OK
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Zip | 74039
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Country | US
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Telephone | 918-247-6300
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Fax | 918-247-5030
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Provider Business Mailing Address
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Address Line | PO BOX 99
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City | KELLYVILLE
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State | OK
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Zip | 74039-0099
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Country | US
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Telephone | 918-247-6133
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Fax | 918-247-6120
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. DANNY JOE PIERCE
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Credential |
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Telephone | 918-247-6133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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