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General NPI Number Information
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NPI Number | 1982723417
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Entity Type | Individual
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Provider Name | RHEYDENE S FERGUSON D.O.
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 921 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5007
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Country | US
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Telephone | 405-456-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 E 2ND ST # 356
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City | EDMOND
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State | OK
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Zip | 73034-5313
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Country | US
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Telephone | 405-888-0830
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 3571
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 3571
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 3571
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License Number State | OK
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