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General NPI Number Information
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NPI Number | 1922961408
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Entity Type | Organization
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Legal Business Name | PASEO AVENUES, INC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 901 NW 25TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-5619
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Country | US
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Telephone | 405-724-8908
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Fax |
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Provider Business Mailing Address
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Address Line | 901 NW 25TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-5619
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Country | US
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Telephone | 405-724-8908
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | KINGSLEY TAZINYA
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Credential |
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Telephone | 301-795-5206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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