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General NPI Number Information
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NPI Number | 1851689426
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Entity Type | Organization
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Legal Business Name | VAHLBERG ENTERPRISES, LLC
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 316 E CHOCTAW AVE
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City | MCALESTER
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State | OK
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Zip | 74501-5028
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Country | US
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Telephone | 918-429-0407
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Fax |
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Provider Business Mailing Address
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Address Line | 2411 SPRINGER DR
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City | NORMAN
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State | OK
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Zip | 73069-3955
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Country | US
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Telephone | 405-329-4545
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Fax | 405-310-3371
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KAREN E VAHLBERG
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Credential | RN
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Telephone | 405-329-4545
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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 | OK
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