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General NPI Number Information
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NPI Number | 1982778643
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Entity Type | Individual
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Provider Name | MARA OKSHTEYN MD
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Gender | Female
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 200 W MAGEE RD SUITE 140
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City | ORO VALLEY
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State | AZ
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Zip | 85704-6492
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Country | US
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Telephone | 520-812-7180
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Fax | 855-523-4050
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Provider Business Mailing Address
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Address Line | PO BOX 36108
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City | TUCSON
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State | AZ
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Zip | 85740-6108
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Country | US
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Telephone | 520-812-7180
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Fax | 877-571-5978
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 34041
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License Number State | AZ
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