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General NPI Number Information
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NPI Number | 1669658878
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Entity Type | Organization
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Legal Business Name | DOUGLAS H. TODD, M.D., P.C.
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 3000 BRYANT WILLIAMS DR SUITE 200
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-1139
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Country | US
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Telephone | 541-274-3000
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Fax | 541-274-2305
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Provider Business Mailing Address
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Address Line | 3000 BRYANT WILLIAMS DR SUITE 200
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-1139
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Country | US
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Telephone | 541-274-3000
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Fax | 541-274-2305
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Authorized Official
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Title or Position | OWNER
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Name | DR. DOUGLAS HAYMORE TODD
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Credential | M.D.
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Telephone | 541-274-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD15860
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License Number State | OR
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