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General NPI Number Information
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NPI Number | 1962415828
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Entity Type | Organization
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Legal Business Name | WHITE OAK MEDICAL, INC
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 06/16/2009
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Provider Practice Location Address
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Address Line | HC 81 BOX 8021
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City | CASSVILLE
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State | MO
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Zip | 65625-8102
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Country | US
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Telephone | 417-847-5800
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Fax | 417-847-5804
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Provider Business Mailing Address
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Address Line | PO BOX 2032
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City | BRANSON WEST
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State | MO
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Zip | 65737-2032
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Country | US
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Telephone | 417-294-2279
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Fax | 417-723-0228
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Authorized Official
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Title or Position | CLINIC ADMINISTRATOR
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Name | DAISY R MCBEE
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Credential |
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Telephone | 417-294-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 263872
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License Number State | MO
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