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General NPI Number Information
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NPI Number | 1174548127
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Entity Type | Organization
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Legal Business Name | NORTHWEST PULMONARY PHYSICIANS PC
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 10/24/2007
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Provider Practice Location Address
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Address Line | 3201 N VAN BUREN ST SUITE 400
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City | ENID
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State | OK
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Zip | 73703-1800
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Country | US
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Telephone | 580-237-1877
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Fax | 580-237-2872
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Provider Business Mailing Address
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Address Line | 3201 N VAN BUREN ST SUITE 400
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City | ENID
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State | OK
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Zip | 73703-1800
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Country | US
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Telephone | 580-237-1877
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Fax | 580-237-2872
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN D WHITSON
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Credential | M.D.
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Telephone | 580-237-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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