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General NPI Number Information
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NPI Number | 1437440278
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Entity Type | Individual
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Provider Name | JESSICA ANN FAUGHT MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 1110 N LEE AVE STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103
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Country | US
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Telephone | 405-218-2530
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Fax | 405-218-2569
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Provider Business Mailing Address
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Address Line | 1110 N LEE AVE STE 200
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City | OKLAHOMA CITY
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State | OK
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Zip | 73103-2612
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Country | US
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Telephone | 405-218-2530
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Fax | 405-218-2569
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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 | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 37344
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | 21125
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License Number State | ME
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