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General NPI Number Information
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NPI Number | 1700038007
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Entity Type | Individual
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Provider Name | CYRUS CAROOM MD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2008
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 3601 4TH ST
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City | LUBBOCK
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State | TX
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Zip | 79430-0002
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Country | US
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Telephone | 806-743-2475
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Fax | 806-743-1394
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Provider Business Mailing Address
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Address Line | PO BOX 27476
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City | SALT LAKE CITY
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State | UT
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Zip | 84127-0476
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Country | US
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Telephone | 806-743-6759
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Fax | 806-743-3576
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | P5783
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | P5783
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License Number State | TX
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