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General NPI Number Information
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NPI Number | 1902344484
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Entity Type | Organization
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Legal Business Name | AHS HILLCREST MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 02/06/2017
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 1120 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-4012
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Country | US
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Telephone | 918-579-9018
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Fax | 918-579-8013
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Provider Business Mailing Address
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Address Line | 1120 S UTICA AVE
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City | TULSA
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State | OK
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Zip | 74104-4012
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Country | US
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Telephone | 918-579-9018
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Fax | 918-579-8013
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Authorized Official
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Title or Position | EVP
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Name | STEPHEN C PETROVICH
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Credential |
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Telephone | 615-296-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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