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General NPI Number Information
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NPI Number | 1811976566
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Entity Type | Individual
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Provider Name | DUANE GERARD KOEHLER DO
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 30 B ST SW
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City | MIAMI
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State | OK
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Zip | 74354-6808
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Country | US
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Telephone | 918-542-5551
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Fax | 918-542-1555
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Provider Business Mailing Address
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Address Line | 30 B ST SW
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City | MIAMI
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State | OK
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Zip | 74354-6808
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Country | US
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Telephone | 918-542-5551
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Fax | 918-542-1555
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2956
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2956
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License Number State | OK
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