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General NPI Number Information
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NPI Number | 1891061636
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Entity Type | Organization
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Legal Business Name | OKLAHOMA CRISIS RECOVERY UNIT
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Dates
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Enumeration Date | 03/27/2012
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2625 GENERAL PERSHING BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-6437
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Country | US
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Telephone | 405-948-9373
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Fax | 405-579-8741
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Provider Business Mailing Address
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Address Line | 2625 GENERAL PERSHING BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73107-6437
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Country | US
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Telephone | 405-948-9373
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Fax | 405-579-8741
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Authorized Official
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Title or Position | DIVISION DIRECTOR REIMBURSEMENT
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Name | JO BETH FANCHER
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Credential |
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Telephone | 405-573-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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