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General NPI Number Information
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NPI Number | 1346395167
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Entity Type | Organization
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Legal Business Name | KIRK, NICHOLSON & REYNOLDS, L.L.P.
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 3612 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1326
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Country | US
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Telephone | 806-793-8787
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Fax | 806-793-0150
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Provider Business Mailing Address
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Address Line | 3612 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1326
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Country | US
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Telephone | 806-793-8787
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Fax | 806-793-0150
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | B.J. HARROD
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Credential |
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Telephone | 806-793-8787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | TX
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