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General NPI Number Information
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NPI Number | 1326153180
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Entity Type | Individual
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Provider Name | OWEN D OKSANEN MD
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 06/18/2013
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Provider Practice Location Address
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Address Line | 90 SOUTHSIDE AVE SUITE300
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City | ASHEVILLE
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State | NC
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Zip | 28801-4160
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Country | US
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Telephone | 828-277-4810
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Fax | 828-277-4847
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Provider Business Mailing Address
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Address Line | PO BOX 890291
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City | CHARLOTTE
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State | NC
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Zip | 28289-0291
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Country | US
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Telephone |
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2010-00229
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License Number State | NC
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