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General NPI Number Information
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NPI Number | 1114006723
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Entity Type | Organization
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Legal Business Name | THOMAS W. SALYER, DO, PC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 1302 S LYNN LN
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City | IDABEL
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State | OK
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Zip | 74745-6860
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Country | US
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Telephone | 580-286-3993
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 S LYNN LN
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City | IDABEL
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State | OK
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Zip | 74745-6860
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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 | PRESIDENT
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Name | THOMAS W. SALYER
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Credential | D.O.
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Telephone | 580-286-3993
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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 | 3118
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License Number State | OK
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