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General NPI Number Information
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NPI Number | 1174486542
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Entity Type | Individual
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Provider Name | PATRICIA MARIE OGBURN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 15 MAIN ST E
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City | MAYVILLE
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State | ND
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Zip | 58257-1435
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Country | US
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Telephone | 701-788-2552
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Fax | 701-788-2340
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Provider Business Mailing Address
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Address Line | 15 MAIN ST E
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City | MAYVILLE
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State | ND
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Zip | 58257-1435
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Country | US
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Telephone | 701-788-2552
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Fax | 701-788-2340
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH4337
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License Number State | ND
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