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General NPI Number Information
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NPI Number | 1528622677
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Entity Type | Individual
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Provider Name | NADIA CAROLINA AZUERO MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2019
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 100 N 30TH ST STE 7
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City | CLINTON
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State | OK
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Zip | 73601-3117
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Country | US
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Telephone | 404-944-0685
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Fax | 580-547-5035
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Provider Business Mailing Address
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Address Line | 100 N 30TH ST STE 7
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City | CLINTON
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State | OK
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Zip | 73601-3117
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Country | US
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Telephone | 580-547-5043
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Fax | 580-547-5035
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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 | 55651
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 41545
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License Number State | OK
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