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General NPI Number Information
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NPI Number | 1952952566
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Entity Type | Organization
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Legal Business Name | COMANCHE COUNTY HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 3401 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6332
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Country | US
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Telephone | 580-280-4445
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Fax | 580-510-7009
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Provider Business Mailing Address
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Address Line | 3401 W GORE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-6332
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Country | US
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Telephone | 580-280-4445
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Fax | 580-510-7009
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY SERVICES
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Name | CHERYL A HALE
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Credential | DPH
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Telephone | 580-280-4445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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