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General NPI Number Information
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NPI Number | 1609632025
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Entity Type | Individual
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Provider Name | JOSEPH REMSBURG
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Gender | Male
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 97TH MEDICAL GROUP 301 N FIRST ST
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City | ALTUS AFB
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State | OK
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Zip | 73523
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Country | US
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Telephone | 580-481-6782
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Fax |
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Provider Business Mailing Address
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Address Line | 97TH MEDICAL GROUP 301 N FIRST ST
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City | ALTUS AFB
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State | OK
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Zip | 73523
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Country | US
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Telephone | 580-481-6782
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DDS-10270
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License Number State | IA
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