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General NPI Number Information
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NPI Number | 1194705772
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Entity Type | Individual
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Provider Name | ROGER J COTNER DO
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 4200 SE ADAMS RD
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City | BARTLESVILLE
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State | OK
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Zip | 74006-8448
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Country | US
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Telephone | 918-978-4275
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Fax | 918-214-8051
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Provider Business Mailing Address
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Address Line | 226 SE DEBELL BLDG A
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City | BARTLESVILLE
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State | OK
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Zip | 74006
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Country | US
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Telephone | 918-333-7200
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Fax | 918-331-1091
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 05-38440
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 4059
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License Number State | OK
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