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General NPI Number Information
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NPI Number | 1407975220
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Entity Type | Organization
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Legal Business Name | LUBBOCK ORTHOPEDIC ASSOCIATES, P.A.
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/19/2010
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Provider Practice Location Address
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Address Line | 5009 UNIVERSITY AVE SUITE G
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City | LUBBOCK
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State | TX
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Zip | 79413-4431
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Country | US
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Telephone | 806-795-9559
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Fax | 806-791-5253
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Provider Business Mailing Address
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Address Line | PO BOX 94088
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City | LUBBOCK
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State | TX
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Zip | 79493-4088
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Country | US
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Telephone | 806-795-9559
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Fax | 806-791-5253
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GAYLON B SEAY
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Credential | M.D.
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Telephone | 806-795-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E8895
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License Number State | TX
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