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General NPI Number Information
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NPI Number | 1871048249
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Entity Type | Organization
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Legal Business Name | JIMMY KEITH OGDEN DC PC
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 3711 CHANDLER RD
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City | MUSKOGEE
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State | OK
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Zip | 74403-4930
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Country | US
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Telephone | 918-686-6932
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Fax | 539-313-9092
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Provider Business Mailing Address
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Address Line | 3711 CHANDLER RD
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City | MUSKOGEE
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State | OK
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Zip | 74403-4930
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Country | US
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Telephone | 918-686-6932
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Fax | 539-313-9092
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Authorized Official
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Title or Position | OWNER
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Name | JIMMY KEITH OGDEN
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Credential | APRN, DC
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Telephone | 918-686-6932
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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