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General NPI Number Information
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NPI Number | 1679175111
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Entity Type | Individual
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Provider Name | DEREK DOAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 07/20/2025
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Provider Practice Location Address
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Address Line | 3300 NW EXPRESSWAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-4418
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Country | US
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Telephone | 405-949-3011
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N LEE AVE STE 1980
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City | OKLAHOMA CITY
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State | OK
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Zip | 73102-1080
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Country | US
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Telephone | 405-272-8437
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Fax | 405-231-3007
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 43619
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License Number State | OK
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