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General NPI Number Information
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NPI Number | 1366727661
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Entity Type | Organization
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Legal Business Name | ROBERT C. DIMSKI, PLLC
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 9070 HARMONY DR SUITE B
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City | MIDWEST CITY
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State | OK
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Zip | 73130-6256
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Country | US
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Telephone | 405-455-3636
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Fax | 405-455-3601
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Provider Business Mailing Address
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Address Line | 9070 HARMONY DR SUITE B
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City | MIDWEST CITY
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State | OK
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Zip | 73130-6256
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Country | US
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Telephone | 405-455-3636
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Fax | 405-455-3601
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ROBERT C. DIMSKI
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Credential | M.D.
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Telephone | 405-455-3636
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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 |
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License Number State |
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