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General NPI Number Information
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NPI Number | 1124106786
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Entity Type | Individual
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Provider Name | MARK FRANCIS OZOG MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 1417 9TH ST S STE 100
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City | GREAT FALLS
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State | MT
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Zip | 59405-4509
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Country | US
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Telephone | 406-453-1613
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Fax | 406-453-3717
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Provider Business Mailing Address
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Address Line | 1417 9TH ST SO #100
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City | GREAT FALLS
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State | MT
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Zip | 59405-4503
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Country | US
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Telephone | 406-453-1613
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Fax | 406-453-3717
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 7816
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 29408
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License Number State | CO
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