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General NPI Number Information
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NPI Number | 1871815845
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Entity Type | Organization
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Legal Business Name | CLAUDE W. BETTY, M.D., P.A.
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 3020 GARRETT DR.
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City | PERRYTON
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State | TX
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Zip | 79070-5322
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Country | US
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Telephone | 806-435-3653
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Fax | 806-435-2327
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Provider Business Mailing Address
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Address Line | 3020 GARRETT DR.
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City | PERRYTON
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State | TX
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Zip | 79070-5322
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Country | US
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Telephone | 806-435-3653
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Fax | 806-435-2327
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CLAUDE WILLIAM BETTY
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Credential | M.D.
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Telephone | 806-435-3653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | D1548
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License Number State | TX
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