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General NPI Number Information
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NPI Number | 1609938984
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Entity Type | Individual
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Provider Name | FLAURYSE M BAGUIDY DMD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | RR 1 HWY 281 SOUTH USPHS IHS WATONGA HEALTH CENTER
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City | WATONGA
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State | OK
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Zip | 73772
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Country | US
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Telephone | 580-623-4994
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Fax | 580-623-5490
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Provider Business Mailing Address
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Address Line | 817 PARK AVE
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City | WATONGA
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State | OK
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Zip | 73772
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Country | US
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Telephone | 580-623-9968
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Fax | 485-227-9968
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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