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General NPI Number Information
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NPI Number | 1639108855
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Entity Type | Organization
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Legal Business Name | THOMAS A PAPIN MD PC
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 06/07/2011
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Provider Practice Location Address
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Address Line | 731 12TH AVE NW STE 202
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City | ARDMORE
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State | OK
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Zip | 73401-5764
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Country | US
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Telephone | 580-224-2700
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Fax | 580-224-0181
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Provider Business Mailing Address
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Address Line | 731 12TH AVE NW STE 202
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City | ARDMORE
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State | OK
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Zip | 73401-5764
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Country | US
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Telephone | 580-224-2700
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Fax | 580-224-0181
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS A PAPIN
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Credential | MD
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Telephone | 580-224-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 24388
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License Number State | OK
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