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General NPI Number Information
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NPI Number | 1932108792
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Entity Type | Individual
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Provider Name | MICHAEL L BUMPUS MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 3400 E FRANK PHILLIPS BLVD SUITE 602
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2495
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Country | US
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Telephone | 918-331-2444
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Fax | 918-331-2443
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Provider Business Mailing Address
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Address Line | 3450 E FRANK PHILLIPS BLVD STE 200
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2401
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Country | US
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Telephone | 918-331-2444
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 13096
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License Number State | OK
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