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General NPI Number Information
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NPI Number | 1083626253
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Entity Type | Organization
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Legal Business Name | OCA NORMAN, LP
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 334 12TH AVE SE STE 110
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City | NORMAN
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State | OK
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Zip | 73071-5064
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Country | US
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Telephone | 405-321-1911
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Fax | 405-321-1610
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Provider Business Mailing Address
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Address Line | 334 12TH AVE SE STE 110
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City | NORMAN
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State | OK
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Zip | 73071-5064
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Country | US
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Telephone | 405-321-1911
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Fax | 405-321-1610
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. KEVIN C CONATSER
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Credential | DO
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Telephone | 405-321-1911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3562
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License Number State | OK
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