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NPI 1629121058

NPI 1629121058 : GENERAL SURGERY ASSOCIATES, P.C. : EDMOND, OK

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General NPI Number Information
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    NPI Number           |    1629121058
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    Entity Type          |    Organization 
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    Legal Business Name  |    GENERAL SURGERY ASSOCIATES, P.C. 
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Dates
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    Enumeration Date     |    01/19/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    105 S BRYANT AVE STE 310 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73034-6331
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    Country              |    US
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    Telephone            |    405-844-1199
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    Fax                  |    405-844-1109
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Provider Business Mailing Address
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    Address Line         |    105 S BRYANT AVE STE 310 
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73034-6331
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    Country              |    US
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    Telephone            |    405-844-1199
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    Fax                  |    405-844-1109
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. PATRICK ARTHUR BELL 
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    Credential           |    MD
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    Telephone            |    405-844-1199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    15105
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    License Number State |    OK
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