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General NPI Number Information
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NPI Number | 1700102670
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Entity Type | Individual
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Provider Name | ROGER KEITH OATMAN D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2010
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Last Update Date | 04/16/2010
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Provider Practice Location Address
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Address Line | 2017 PLAZA DR
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City | HARRISONVILLE
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State | MO
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Zip | 64701-1264
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Country | US
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Telephone | 816-380-2436
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Fax |
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Provider Business Mailing Address
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Address Line | 904 MCINTOSH CIR
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City | BELTON
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State | MO
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Zip | 64012-4740
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Country | US
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Telephone | 816-331-5951
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2006005530
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License Number State | MO
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