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General NPI Number Information
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NPI Number | 1003060831
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Entity Type | Organization
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Legal Business Name | CONLEY MEDICAL SERVICES, PLLC
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 03/21/2024
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Provider Practice Location Address
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Address Line | 1323 N 16TH AVE
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City | DURANT
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State | OK
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Zip | 74701-2134
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Country | US
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Telephone | 580-745-1011
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Fax | 580-745-5332
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Provider Business Mailing Address
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Address Line | 1323 N 16TH AVE
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City | DURANT
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State | OK
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Zip | 74701-2134
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Country | US
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Telephone | 580-745-1011
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Fax | 580-745-5332
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOHN D CONLEY
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Credential | DO
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Telephone | 580-745-1011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4448
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License Number State | OK
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