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General NPI Number Information
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NPI Number | 1083856132
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Entity Type | Organization
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Legal Business Name | WEST TEXAS ORTHOPEDIC HOSPITALIST, PA
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 400 N GARFIELD ST SUITE 281
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City | MIDLAND
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State | TX
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Zip | 79701-5904
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Country | US
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Telephone | 866-885-5522
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 952249
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City | DALLAS
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State | TX
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Zip | 75395-0001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | FRED A. BAYS
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Credential |
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Telephone | 866-885-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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