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General NPI Number Information
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NPI Number | 1548336969
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Entity Type | Organization
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Legal Business Name | WORKERS MEDICAL PA
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 UNIVERSITY DRIVE EAST SUITE 155
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City | BRYAN
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State | TX
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Zip | 77802
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Country | US
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Telephone | 979-774-9777
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Fax | 979-774-9997
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Provider Business Mailing Address
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Address Line | 3201 UNIVERSITY DRIVE EAST SUITE 155
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City | BRYAN
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State | TX
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Zip | 77802
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Country | US
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Telephone | 979-774-9777
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Fax | 979-774-9997
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. ARTHUR D WHITTINGTON
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Credential |
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Telephone | 979-774-9777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number | MDG0026
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License Number State | TX
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