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General NPI Number Information
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NPI Number | 1780992966
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Entity Type | Organization
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Legal Business Name | PAUL M. REED, D.O., PLLC
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Dates
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Enumeration Date | 09/22/2010
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Last Update Date | 09/22/2010
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Provider Practice Location Address
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Address Line | 1309 N EAST ST
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City | GUYMON
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State | OK
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Zip | 73942-3333
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Country | US
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Telephone | 580-338-8338
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Fax | 580-338-8340
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Provider Business Mailing Address
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Address Line | PO BOX 1827
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City | GUYMON
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State | OK
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Zip | 73942-1827
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Country | US
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Telephone | 580-338-8338
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Fax | 580-338-8340
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICKIE MALLARD
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Credential |
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Telephone | 580-338-8338
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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 | 3382
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License Number State | OK
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