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General NPI Number Information
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NPI Number | 1669481438
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Entity Type | Individual
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Provider Name | ERLAN C DUUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5604 SW LEE BLVD SUITE 310
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City | LAWTON
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State | OK
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Zip | 73505-9681
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Country | US
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Telephone | 580-536-1800
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Fax | 580-536-1224
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Provider Business Mailing Address
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Address Line | 5604 SW LEE BLVD SUITE 310
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City | LAWTON
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State | OK
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Zip | 73505-9681
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Country | US
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Telephone | 580-536-1800
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Fax | 580-536-1224
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 16374
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License Number State | OK
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