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General NPI Number Information
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NPI Number | 1023086329
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Entity Type | Individual
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Provider Name | JOHN R HOUCK JR. MD
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 921 NE 13TH STREET DEPARTMENT OF SURGERY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5007
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Country | US
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Telephone | 405-456-3409
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Fax | 405-456-5952
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Provider Business Mailing Address
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Address Line | 921 NE 13TH ST DEPARTMENT OF SURGERY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5007
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Country | US
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Telephone | 405-456-3409
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Fax | 405-456-5952
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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 | 207YS0012X
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Taxonomy Name | Sleep Medicine (Otolaryngology) Physician
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License Number | 17455
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 17455
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 17455
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License Number State | OK
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