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General NPI Number Information
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NPI Number | 1366434680
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Entity Type | Individual
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Provider Name | BERNARD MICHAEL TOUGAS JR. D.C, P.A.-C
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 205 E RAY FINE BLVD
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City | ROLAND
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State | OK
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Zip | 74954-5181
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Country | US
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Telephone | 918-503-6235
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5437
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City | FORT SMITH
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State | AR
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Zip | 72913-5437
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Country | US
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Telephone | 918-503-5235
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1462
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3388
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1536
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License Number State | OK
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