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General NPI Number Information
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NPI Number | 1528094836
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Entity Type | Individual
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Provider Name | GARY K AUGTER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 1030 E WASHINGTON
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City | MCALESTER
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State | OK
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Zip | 74501-7508
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Country | US
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Telephone | 918-426-1616
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 E WASHINGTON AVE
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City | MCALESTER
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State | OK
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Zip | 74501-4850
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Country | US
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Telephone | 918-426-1616
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Fax | 918-426-2808
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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 | 3536
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 3536
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License Number State | OK
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