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General NPI Number Information
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NPI Number | 1073572103
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Entity Type | Individual
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Provider Name | KIMBERLY A OXLEY M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/18/2006
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 205 MARION PIKE
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City | IRONTON
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State | OH
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Zip | 45638-3165
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Country | US
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Telephone | 740-534-9195
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Fax | 740-532-1183
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Provider Business Mailing Address
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Address Line | 2585 3RD AVE
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City | HUNTINGTON
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State | WV
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Zip | 25703-1642
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Country | US
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Telephone | 740-532-1188
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Fax | 740-532-1183
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35073139
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License Number State | OH
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