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General NPI Number Information
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NPI Number | 1841954054
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Entity Type | Organization
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Legal Business Name | SOUTHERN PLAINS MEDICAL CENTER SPMC-ASC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2222 W IOWA AVE
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City | CHICKASHA
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State | OK
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Zip | 73018-2738
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Country | US
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Telephone | 405-224-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 2222 W IOWA AVE
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City | CHICKASHA
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State | OK
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Zip | 73018-2738
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Country | US
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Telephone | 405-825-4400
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Fax | 405-825-4530
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Authorized Official
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Title or Position | OWNER
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Name | HARESHKUMAR BOGHARA
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Credential | MD
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Telephone | 405-825-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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