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General NPI Number Information
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NPI Number | 1518109040
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Entity Type | Individual
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Provider Name | LARA MARINA OAKES MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 217 W BELKNAP ST
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City | JACKSBORO
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State | TX
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Zip | 76458-2307
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Country | US
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Telephone | 940-210-9899
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Fax |
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Provider Business Mailing Address
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Address Line | 217 W BELKNAP STREET
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City | JACKSBORO
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State | TX-TEXAS
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Zip | 76458
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Country | UM
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Telephone | 940-567-5528
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | P4368
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License Number State | TX
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