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General NPI Number Information
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NPI Number | 1609847722
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Entity Type | Individual
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Provider Name | ROBERT E OKASINSKI MD
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Gender | Male
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Dates
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Enumeration Date | 01/27/2006
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 2700 NW STEWART PKWY
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City | ROSEBURG
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State | OR
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Zip | 97471-1281
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Country | US
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Telephone | 541-673-0611
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Fax |
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Provider Business Mailing Address
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Address Line | 700 D ST
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City | ELKTON
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State | OR
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Zip | 97436-7513
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Country | US
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Telephone | 419-239-3345
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35-046219
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD150279
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License Number State | OR
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