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General NPI Number Information
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NPI Number | 1710994819
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Entity Type | Individual
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Provider Name | CHARLES MORGAN OLINGER DMD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1616 10TH ST SUITE A
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4334
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Country | US
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Telephone | 940-716-9900
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Fax | 940-716-9906
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Provider Business Mailing Address
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Address Line | 404 MORNINGSIDE DR
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City | WICHITA FALLS
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State | TX
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Zip | 76301-3928
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Country | US
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Telephone | 940-631-8755
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Fax | 940-716-9906
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17505
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License Number State | TX
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