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General NPI Number Information
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NPI Number | 1538963459
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Entity Type | Organization
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Legal Business Name | ENID MEDICINE & ENDOSCOPY
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 330 E CHEROKEE AVE
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City | ENID
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State | OK
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Zip | 73701-5714
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Country | US
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Telephone | 580-205-2009
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Fax | 580-238-4259
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | ENID
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State | OK
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Zip | 73702-0129
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Country | US
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Telephone | 580-205-2009
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Fax | 580-238-4259
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Authorized Official
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Title or Position | PHYSICIAN
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Name | CRISTOPHER D SCHULTZ
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Credential | DO
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Telephone | 580-747-6359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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