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General NPI Number Information
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NPI Number | 1124018908
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Entity Type | Individual
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Provider Name | BILL ATKINSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4102 24TH ST STE 300
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City | LUBBOCK
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State | TX
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Zip | 79410-1806
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Country | US
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Telephone | 806-725-5497
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Fax | 806-723-6299
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Provider Business Mailing Address
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Address Line | 4904 116TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424-7600
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Country | US
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Telephone | 806-441-9529
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Fax | 806-723-6532
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | G3121
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License Number State | TX
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