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General NPI Number Information
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NPI Number | 1306054416
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Entity Type | Individual
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Provider Name | MICHAEL SCOTT OAKLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 60 N MAIN ST
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-3336
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Country | US
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Telephone | 631-204-1361
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Fax | 631-204-1367
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Provider Business Mailing Address
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Address Line | 60 N MAIN ST
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City | SOUTHAMPTON
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State | NY
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Zip | 11968-3336
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Country | US
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Telephone | 631-204-1361
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Fax | 631-204-1367
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 183363
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License Number State | NY
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