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General NPI Number Information
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NPI Number | 1134393143
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Entity Type | Organization
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Legal Business Name | ERIC N EAKERS DDS A P C
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 2805 N MARTIN LUTHER KING AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-3317
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Country | US
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Telephone | 405-424-0037
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 N MARTIN LUTHER KING AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-3317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ERIC EAKERS
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Credential | D.D.S
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Telephone | 405-424-0037
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4754
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License Number State | OK
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