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General NPI Number Information
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NPI Number | 1184898066
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Entity Type | Organization
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Legal Business Name | CARL S SCHREINER III DDS INC
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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 | 2035 W ELK AVE
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City | DUNCAN
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State | OK
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Zip | 73533-1641
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Country | US
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Telephone | 580-255-4880
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Fax | 580-475-0386
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Provider Business Mailing Address
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Address Line | 2035 W ELK AVE
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City | DUNCAN
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State | OK
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Zip | 73533-1641
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Country | US
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Telephone | 580-255-4880
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Fax | 580-475-0386
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Authorized Official
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Title or Position | BUSINESS ASSISTANT
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Name | MR. JANICE S FARMER
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Credential |
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Telephone | 580-255-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3449
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License Number State | OK
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