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General NPI Number Information
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NPI Number | 1679568125
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Entity Type | Organization
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Legal Business Name | TIM CARLTON PROSTHETICS INC.
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9414 WESTGATE RD SUITE B.
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-6245
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Country | US
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Telephone | 405-721-7570
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Fax | 405-721-7599
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Provider Business Mailing Address
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Address Line | 9414 WESTGATE RD SUITE B.
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-6245
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Country | US
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Telephone | 405-721-7570
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Fax | 405-721-7599
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Authorized Official
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Title or Position | OWNER / PROSTHETIST
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Name | MR. TIMOTHY RAY CARLTON
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Credential | C.P. L.P.
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Telephone | 405-721-7570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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