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General NPI Number Information
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NPI Number | 1386050482
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Entity Type | Organization
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Legal Business Name | BARTLESVILLE PHYSICIANS CARE, PLLC
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 2431 SE WASHINGTON BLVD SUITE B
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City | BARTLESVILLE
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State | OK
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Zip | 74006-7258
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Country | US
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Telephone | 918-333-5233
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Fax | 918-333-5221
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Provider Business Mailing Address
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Address Line | 2431 SE WASHINGTON BLVD SUITE B
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City | BARTLESVILLE
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State | OK
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Zip | 74006-7258
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Country | US
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Telephone | 918-333-5233
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Fax | 918-333-5221
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AHMAD S AGHA
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Credential | M.D.
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Telephone | 580-762-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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