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General NPI Number Information
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NPI Number | 1891798450
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Entity Type | Organization
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Legal Business Name | CITY OF POND CREEK
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 S 2ND
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City | POND CREEK
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State | OK
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Zip | 73766
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Country | US
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Telephone | 580-532-4915
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Fax | 580-532-4913
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Provider Business Mailing Address
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Address Line | PO BOX 6
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City | POND CREEK
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State | OK
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Zip | 73766-0006
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Country | US
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Telephone | 580-532-4915
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Fax | 580-532-4913
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. HOWARD HALCOMB
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Credential |
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Telephone | 580-532-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | EMS061
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License Number State | OK
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