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General NPI Number Information
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NPI Number | 1003251943
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Entity Type | Individual
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Provider Name | JASON MATTHEW HIRSHBURG M.D. PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 7336 N CLASSEN BLVD STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7114
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Country | US
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Telephone | 405-285-8823
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Fax | 405-285-8824
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Provider Business Mailing Address
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Address Line | 7336 N CLASSEN BLVD STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7114
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Country | US
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Telephone | 405-285-8823
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Fax | 405-285-8824
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 33503
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 33503
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License Number State | OK
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