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General NPI Number Information
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NPI Number | 1962621334
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Entity Type | Organization
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Legal Business Name | CHEYENNE AND ARAPAHO TRIBES OF OKLAHOMA
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 RED MOON CIRCLE
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City | CONCHO
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State | OK
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Zip | 73022
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Country | US
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Telephone | 405-422-7688
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Fax | 405-262-3423
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Provider Business Mailing Address
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Address Line | 100 RED MOON CIRCLE
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City | CONCHO
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State | OK
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Zip | 73022-2541
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Country | US
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Telephone | 405-422-7681
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Fax | 405-262-3423
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Authorized Official
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Title or Position | COORDINATOR
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Name | MR. CHRIS TALLBEAR
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Credential |
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Telephone | 405-422-7681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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