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General NPI Number Information
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NPI Number | 1487274866
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Entity Type | Individual
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Provider Name | RAUL OROZCO VILLALOBOS MD
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Gender | Male
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Dates
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Enumeration Date | 04/25/2020
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 700 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5004
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Country | US
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Telephone | 405-271-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 613 MIMOSA DR
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City | NORMAN
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State | OK
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Zip | 73069-8622
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Country | US
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Telephone | 405-824-0362
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 38109
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 38109
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License Number State | OK
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