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General NPI Number Information
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NPI Number | 1932260502
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Entity Type | Organization
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Legal Business Name | MIDLAND FAMILY PHYSICIANS, P. A.
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 3620 N BIG SPRING ST
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City | MIDLAND
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State | TX
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Zip | 79705-4505
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Country | US
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Telephone | 432-682-7473
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Fax | 432-682-2427
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Provider Business Mailing Address
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Address Line | 3620 N BIG SPRING ST
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City | MIDLAND
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State | TX
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Zip | 79705-4505
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Country | US
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Telephone | 432-682-7473
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Fax | 432-682-2427
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. CAROLYN CREIGHTON RHODE
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Credential | M. D.
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Telephone | 432-682-7473
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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 |
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License Number State |
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