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General NPI Number Information
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NPI Number | 1144495227
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Entity Type | Organization
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Legal Business Name | MICHAEL D. FURGESON, M. D.,INC.
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 02/28/2012
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Provider Practice Location Address
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Address Line | 508 W VANDAMENT AVE SUITE 100
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City | YUKON
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State | OK
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Zip | 73099-4655
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Country | US
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Telephone | 405-350-8100
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Fax | 405-350-6418
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Provider Business Mailing Address
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Address Line | 508 W VANDAMENT AVE SUITE 100
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City | YUKON
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State | OK
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Zip | 73099-4655
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Country | US
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Telephone | 405-350-8100
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Fax | 405-350-6418
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL DOUGLAS FURGESON
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Credential | M. D.
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Telephone | 405-350-8100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 15287
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License Number State | OK
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