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General NPI Number Information
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NPI Number | 1679732515
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Entity Type | Organization
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Legal Business Name | DR. WILLIAM PAUL SOMMER
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 06/05/2008
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Provider Practice Location Address
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Address Line | 6465 S YALE AVE STE 722
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City | TULSA
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State | OK
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Zip | 74136-7822
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Country | US
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Telephone | 918-481-7755
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Fax | 918-481-7759
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Provider Business Mailing Address
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Address Line | 6465 S YALE AVE STE 722
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City | TULSA
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State | OK
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Zip | 74136-7822
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Country | US
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Telephone | 918-481-7755
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Fax | 918-481-7759
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CATHERINE A JOHNSON
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Credential |
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Telephone | 918-481-7755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2770
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License Number State | OK
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