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General NPI Number Information
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NPI Number | 1760820385
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Entity Type | Individual
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Provider Name | JOHN RICHARD OGOREK MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 300 PROFESSIONAL DR STE 2B
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8897
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Country | US
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Telephone | 207-761-1502
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Fax | 207-774-2015
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Provider Business Mailing Address
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Address Line | 300 PROFESSIONAL DR STE 2B
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City | SCARBOROUGH
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State | ME
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Zip | 04074-8897
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Country | US
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Telephone | 207-761-1502
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Fax | 207-774-2015
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD23687
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | MD23687
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License Number State | ME
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