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General NPI Number Information
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NPI Number | 1528051034
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Entity Type | Individual
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Provider Name | STEPHEN OZANNE M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 11/29/2016
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Provider Practice Location Address
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Address Line | 3450 W WHEATLAND RD SUITE 330
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City | DALLAS
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State | TX
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Zip | 75237-3470
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Country | US
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Telephone | 972-299-6966
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Fax | 972-299-9100
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Provider Business Mailing Address
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Address Line | PO BOX 543066
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-3066
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Country | US
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Telephone | 972-299-6966
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Fax | 972-299-9100
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | G8637
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License Number State | TX
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