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General NPI Number Information
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NPI Number | 1619050622
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Entity Type | Individual
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Provider Name | PAUL S ERBA MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 600 S MONROE ST
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City | ENID
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State | OK
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Zip | 73701-7211
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Country | US
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Telephone | 580-233-3843
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Fax | 580-548-1484
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Provider Business Mailing Address
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Address Line | PO BOX 5096
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City | ENID
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State | OK
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Zip | 73702-5096
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Country | US
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Telephone | 580-233-3843
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Fax | 580-548-1484
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 16411
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License Number State | OK
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