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General NPI Number Information
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NPI Number | 1336274893
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Entity Type | Organization
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Legal Business Name | STANLEY R GAHRING MD PC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4 E CLARK BASS BLVD STE 201
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City | MCALESTER
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State | OK
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Zip | 74501-4269
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Country | US
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Telephone | 918-421-6690
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Fax | 918-421-6693
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Provider Business Mailing Address
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Address Line | 4 E CLARK BASS BLVD STE 201
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City | MCALESTER
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State | OK
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Zip | 74501-4269
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Country | US
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Telephone | 918-421-6690
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Fax | 918-421-6693
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Authorized Official
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Title or Position | OFFICE MGR
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Name | MRS. LEIGH ANN - GAHRING
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Credential | RN
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Telephone | 918-421-6690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 24384
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License Number State | OK
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