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General NPI Number Information
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NPI Number | 1780128090
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Entity Type | Organization
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Legal Business Name | S DAVID CROMWELL MD PLLC
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 101 S SAINTS BLVD SUITE 212
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City | EDMOND
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State | OK
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Zip | 73034-3081
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Country | US
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Telephone | 405-513-8811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31533
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City | EDMOND
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State | OK
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Zip | 73003-0026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN DAVID CROMWELL
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Credential | MD
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Telephone | 405-229-7327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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