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General NPI Number Information
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NPI Number | 1033398151
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Entity Type | Organization
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Legal Business Name | MAURICE J. OAKLEY,M.D.,P.S.C.
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 1901 WINCHESTER AVE SUITE 102
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City | ASHLAND
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State | KY
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Zip | 41101-7758
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Country | US
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Telephone | 606-329-2211
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Fax | 606-324-9207
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Provider Business Mailing Address
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Address Line | 1901 WINCHESTER AVE SUITE 102
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City | ASHLAND
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State | KY
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Zip | 41101-7758
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Country | US
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Telephone | 606-329-2211
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Fax | 606-324-9207
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MAURICE J OAKLEY
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Credential | M.D.
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Telephone | 606-329-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 18566
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License Number State | KY
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