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General NPI Number Information
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NPI Number | 1013057496
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Entity Type | Organization
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Legal Business Name | MYRA JOY FRANTZ O.D., P.C.
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 400 E MAIN ST SUITE B
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City | WEATHERFORD
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State | OK
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Zip | 73096-5351
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Country | US
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Telephone | 580-772-2020
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Fax | 580-772-0191
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Provider Business Mailing Address
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Address Line | PO BOX 2084
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City | WEATHERFORD
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State | OK
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Zip | 73096-8084
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Country | US
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Telephone | 580-772-2020
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Fax | 580-772-0191
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MYRA JOY FRANTZ
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Credential | O.D., P.C.
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Telephone | 580-772-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2188
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License Number State | OK
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