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General NPI Number Information
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NPI Number | 1598922908
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Entity Type | Individual
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Provider Name | VICTOR EDUARDO PASCUAL CHAGMAN MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 1401 N 4TH AVE SUITE 100
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City | PURCELL
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State | OK
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Zip | 73080-1806
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Country | US
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Telephone | 405-527-1075
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Fax | 405-527-1077
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Provider Business Mailing Address
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Address Line | 9777 N COUNCIL RD APT 725
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-5500
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Country | US
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Telephone | 405-527-1075
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Fax |
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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 | 17161
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License Number State | PR
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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 | 27435
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101245934
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License Number State | VA
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