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General NPI Number Information
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NPI Number | 1003165416
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Entity Type | Organization
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Legal Business Name | JERRY OAKMAN MD PLLC
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 12850 JONES RD STE#102
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City | HOUSTON
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State | TX
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Zip | 77070-4955
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Country | US
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Telephone | 281-890-8610
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Fax | 281-890-8613
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Provider Business Mailing Address
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Address Line | 12850 JONES RD STE#102
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City | HOUSTON
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State | TX
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Zip | 77070-4955
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Country | US
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Telephone | 281-890-8610
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Fax | 281-890-8613
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. JERRY DENNIS OAKMAN
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Credential | MD
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Telephone | 281-890-8610
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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 | E3078
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License Number State | TX
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