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General NPI Number Information
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NPI Number | 1033360979
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Entity Type | Organization
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Legal Business Name | CIMARRON ORTHOPEDICS, PC
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 320 N PERKINS RD
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City | STILLWATER
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State | OK
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Zip | 74075-5513
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Country | US
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Telephone | 405-707-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 819
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City | STILLWATER
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State | OK
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Zip | 74076-0819
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Country | US
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Telephone | 405-707-7500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS MARVIN ATTEBERRY
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Credential | MD
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Telephone | 405-707-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | 12759
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License Number State | OK
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