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General NPI Number Information
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NPI Number | 1538353651
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Entity Type | Organization
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Legal Business Name | STEPHEN J OEHLERS MD LLC
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Dates
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Enumeration Date | 08/31/2007
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Last Update Date | 08/31/2007
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Provider Practice Location Address
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Address Line | 2105 E HIGH ST
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1374
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Country | US
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Telephone | 937-342-9930
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Fax | 937-324-8230
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Provider Business Mailing Address
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Address Line | 2105 E HIGH ST
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City | SPRINGFIELD
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State | OH
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Zip | 45505-1374
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Country | US
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Telephone | 937-342-9930
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Fax | 937-324-8230
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEPHEN J OEHLERS
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Credential | M.D.
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Telephone | 937-342-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35-084467
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License Number State | OH
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