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General NPI Number Information
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NPI Number | 1871567958
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Entity Type | Organization
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Legal Business Name | STILLWATER MEDICAL CENTER AUTHORITY
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 12/22/2016
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Provider Practice Location Address
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Address Line | 1201 S. ADAMS
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City | STILLWATER
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State | OK
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Zip | 74074-4225
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Country | US
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Telephone | 405-624-6578
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Fax | 405-624-6590
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Provider Business Mailing Address
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Address Line | PO BOX 2408
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City | STILLWATER
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State | OK
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Zip | 74076-2408
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Country | US
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Telephone | 405-624-6578
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Fax | 405-624-6590
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Authorized Official
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Title or Position | CFO
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Name | MR. ROBERT ALAN LOVELACE
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Credential |
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Telephone | 405-742-3959
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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 | 7256
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License Number State | OK
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Taxonomy #2
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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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