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General NPI Number Information
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NPI Number | 1063143055
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Entity Type | Organization
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Legal Business Name | DR ANGIE NAUMAN PLLC
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 9118 S TOLEDO AVE
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City | TULSA
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State | OK
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Zip | 74137-2700
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Country | US
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Telephone | 918-728-0876
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Fax |
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Provider Business Mailing Address
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Address Line | 12828 S MINGO RD
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City | BIXBY
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State | OK
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Zip | 74008-2149
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Country | US
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Telephone | 918-728-0878
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGIE KAY NAUMAN
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Credential | DDS
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Telephone | 918-728-0876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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