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General NPI Number Information
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NPI Number | 1215194162
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Entity Type | Organization
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Legal Business Name | MICHAEL F. ALSPAUGH
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 609 S KELLY AVE SUITE A1
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City | EDMOND
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State | OK
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Zip | 73003-5659
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Country | US
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Telephone | 405-340-3880
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Fax | 405-341-3630
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Provider Business Mailing Address
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Address Line | 609 S KELLY AVE SUITE A1
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City | EDMOND
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State | OK
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Zip | 73003-5659
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Country | US
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Telephone | 405-340-3880
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Fax | 403-341-3630
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL F ALSPAUGH
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Credential | D.D.S.
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Telephone | 405-340-3880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5007
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License Number State | OK
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