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General NPI Number Information
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NPI Number | 1730347543
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Entity Type | Organization
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Legal Business Name | LAWTON CENTER FOR HEALTH
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 5606 SW LEE BLVD SUITE 301
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City | LAWTON
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State | OK
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Zip | 73505
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Country | US
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Telephone | 203-453-5358
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Fax |
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Provider Business Mailing Address
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Address Line | 5606 SW LEE BLVD SUITE 301
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City | LAWTON
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State | OK
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Zip | 73505
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Country | US
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Telephone | 580-510-3018
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Fax | 580-510-3038
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. PAUL ENGELMAN
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Credential | D.O.
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Telephone | 580-510-3018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4590
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License Number State | OK
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