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General NPI Number Information
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NPI Number | 1447357165
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Entity Type | Organization
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Legal Business Name | EMILY A DEEB
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4501 50TH ST SUITE 100
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City | LUBBOCK
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State | TX
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Zip | 79414-3613
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Country | US
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Telephone | 806-785-0057
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Fax | 806-792-6093
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Provider Business Mailing Address
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Address Line | 4501 50TH ST SUITE 100
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City | LUBBOCK
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State | TX
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Zip | 79414-3613
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Country | US
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Telephone | 806-785-0057
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Fax | 806-792-6093
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. EMILY A DEEB
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Credential | MD
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Telephone | 806-785-0057
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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 | K1179
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License Number State | TX
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