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General NPI Number Information
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NPI Number | 1558889972
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Entity Type | Organization
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Legal Business Name | MARSHALL HUSER FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3727 LEGACY
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City | WEATHERFORD
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State | OK
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Zip | 73096-9746
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Country | US
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Telephone | 580-375-4901
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Fax | 580-375-4903
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Provider Business Mailing Address
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Address Line | 3727 LEGACY
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City | WEATHERFORD
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State | OK
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Zip | 73096-9746
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Country | US
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Telephone | 580-375-4901
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Fax | 580-375-4903
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Authorized Official
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Title or Position | MANAGER
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Name | CYNTHIA L HUGHES
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Credential |
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Telephone | 918-230-9845
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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 | 30638
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License Number State | OK
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