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General NPI Number Information
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NPI Number | 1932470234
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Entity Type | Organization
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Legal Business Name | JAMES P. WORRELL M.D., P.C.
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 3201 N VAN BUREN ST SUITE 600
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City | ENID
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State | OK
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Zip | 73703-1812
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Country | US
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Telephone | 580-234-3788
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Fax | 580-234-3372
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Provider Business Mailing Address
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Address Line | 3201 N VAN BUREN ST SUITE 600
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City | ENID
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State | OK
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Zip | 73703-1812
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Country | US
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Telephone | 580-234-3788
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Fax | 580-234-3372
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. JAMES P WORRELL
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Credential | M.D.
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Telephone | 580-234-3788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 19688
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License Number State | OK
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