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General NPI Number Information
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NPI Number | 1528276185
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Entity Type | Individual
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Provider Name | GREGORY E OXFORD DDS MS PHD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 201 HEALTH PARK BLVD SUITE 216
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5797
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Country | US
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Telephone | 904-810-2345
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Fax | 904-810-5334
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Provider Business Mailing Address
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Address Line | 201 HEALTH PARK BLVD SUITE 216
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5797
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Country | US
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Telephone | 904-810-2345
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Fax | 904-810-5334
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN10364
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License Number State | FL
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