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General NPI Number Information
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NPI Number | 1083420913
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Entity Type | Organization
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Legal Business Name | OFELIA MARIN, APRN, FNP-BC, LLC.
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 1418 MAIN ST
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City | WOODWARD
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State | OK
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Zip | 73801-3004
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Country | US
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Telephone | 580-216-0246
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Fax | 405-913-1048
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Provider Business Mailing Address
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Address Line | 1418 MAIN ST
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City | WOODWARD
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State | OK
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Zip | 73801-3004
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Country | US
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Telephone | 580-216-0246
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Fax | 405-913-1048
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | OFELIA MARIN
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Credential | APRN, FNP-BC.
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Telephone | 580-216-0246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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