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General NPI Number Information
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NPI Number | 1477746691
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Entity Type | Organization
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Legal Business Name | WILLIAM L. BARRETT M.D.P.C.
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 520 N MONTE VISTA ST SUITE B
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City | ADA
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State | OK
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Zip | 74820-4674
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Country | US
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Telephone | 580-421-6470
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Fax | 580-421-6472
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Provider Business Mailing Address
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Address Line | 520 N MONTE VISTA ST SUITE B
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City | ADA
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State | OK
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Zip | 74820-4674
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Country | US
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Telephone | 580-421-6470
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Fax | 580-421-6472
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM L BARRETT
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Credential | M.D.
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Telephone | 580-421-6470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 23280
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License Number State | OK
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