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General NPI Number Information
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NPI Number | 1396808879
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Entity Type | Organization
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Legal Business Name | OXFORD ENDOCRINOLOGY CONSULTANTS, P.C.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 01/04/2011
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Provider Practice Location Address
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Address Line | 512 AZALEA DRIVE
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-236-2923
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Fax | 662-236-4563
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Provider Business Mailing Address
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Address Line | 512 AZALEA DRIVE
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-236-2923
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Fax | 662-236-4563
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | LORIE A CHANDLER
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Credential |
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Telephone | 662-236-2923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 18903
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License Number State | MS
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