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General NPI Number Information
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NPI Number | 1508307448
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Entity Type | Individual
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Provider Name | GEORGE WILLIAM RUSSELL D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 2011 W BROADWAY AVE
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City | SULPHUR
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State | OK
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Zip | 73086-4221
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Country | US
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Telephone | 580-622-4482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1109
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City | SULPHUR
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State | OK
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Zip | 73086-8109
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Country | US
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Telephone | 580-622-4482
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 6245
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License Number State | OK
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