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General NPI Number Information
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NPI Number | 1922076975
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Entity Type | Organization
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Legal Business Name | KINGFISHER REGIONAL HOSPITAL
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 1000 KINGFISHER HOSP DR
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City | KINGFISHER
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State | OK
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Zip | 73750
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Country | US
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Telephone | 405-375-3141
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Fax | 405-375-5115
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Provider Business Mailing Address
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Address Line | PO BOX 59
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City | KINGFISHER
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State | OK
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Zip | 73750-0059
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Country | US
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Telephone | 405-375-3141
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Fax | 405-375-5115
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Authorized Official
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Title or Position | PFS MANAGER
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Name | MRS. NANCY J ALTMAN
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Credential |
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Telephone | 405-375-7814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 282NC0060X
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License Number State | OK
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