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General NPI Number Information
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NPI Number | 1861611469
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Entity Type | Individual
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Provider Name | CHARLES WINFORD RIMMER JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/28/2013
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Provider Practice Location Address
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Address Line | 1800 S WASHINGTON ST SUITE 200-B
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City | AMARILLO
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State | TX
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Zip | 79102-2610
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Country | US
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Telephone | 806-372-0123
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Fax | 806-372-0132
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Provider Business Mailing Address
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Address Line | 7306 SW 34TH AVE SUITE 1,#374
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City | AMARILLO
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State | TX
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Zip | 79121-1440
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Country | US
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Telephone | 806-372-0123
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Fax | 806-372-0123
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | D 3383
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License Number State | TX
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