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General NPI Number Information
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NPI Number | 1851448526
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Entity Type | Organization
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Legal Business Name | CHOCTAW NATION OF OKLAHOMA
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 109 KERR AVE
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City | POTEAU
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State | OK
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Zip | 74953-5270
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Country | US
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Telephone | 8-349-7026
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Fax | 918-567-7180
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Provider Business Mailing Address
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Address Line | ONE CHOCTAW WAY
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City | TALIHINA
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State | OK
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Zip | 74571
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Country | US
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Telephone | 800-349-7026
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Fax | 918-567-7180
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Authorized Official
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Title or Position | EXECUTIVE OFFICER - DEPT OF HEALTH
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Name | TODD A HALLMARK
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Credential |
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Telephone | 918-567-7115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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