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General NPI Number Information
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NPI Number | 1942958111
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Entity Type | Organization
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Legal Business Name | CROSSOVER HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 5635 N MARTIN LUTHER KING JR BLVD
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City | TULSA
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State | OK
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Zip | 74126-6409
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Country | US
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Telephone | 918-398-9460
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Fax | 918-992-2822
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Provider Business Mailing Address
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Address Line | 940 E 36TH ST N
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City | TULSA
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State | OK
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Zip | 74106-1953
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Country | US
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Telephone | 918-398-9460
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SHARMIEN WATKINS
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Credential |
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Telephone | 918-398-9460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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