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General NPI Number Information
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NPI Number | 1093807182
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Entity Type | Individual
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Provider Name | FETIH AKGUL MD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 510 4TH ST SOUTH PRAIRIE ST JOHNS LLC
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City | FARGO
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State | ND
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Zip | 58107
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Country | US
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Telephone | 701-476-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 901 42ND ST SW APT # 202
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City | FARGO
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State | ND
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Zip | 58103
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Country | US
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Telephone | 701-306-9890
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | PT10106
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License Number State | ND
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