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NPI 1225204993

NPI 1225204993 : DR DANA B PRICE DDS PC : OKLAHOMA CITY, OK

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General NPI Number Information
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    NPI Number           |    1225204993
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR DANA B PRICE DDS PC 
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Dates
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    Enumeration Date     |    05/02/2008
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    Last Update Date     |    05/02/2008
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Provider Practice Location Address
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    Address Line         |    5601 N CLASSEN BLVD STE., 100
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73118-4015
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    Country              |    US
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    Telephone            |    405-848-6744
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    Fax                  |    405-848-3406
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Provider Business Mailing Address
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    Address Line         |    5601 N CLASSEN BLVD STE., 100
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    City                 |    OKLAHOMA CITY
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    State                |    OK
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    Zip                  |    73118-4015
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    Country              |    US
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    Telephone            |    405-848-6744
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    Fax                  |    405-848-3406
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     LINDA  HARTSFIELD 
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    Credential           |    
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    Telephone            |    405-848-6744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    5493
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    License Number State |    OK
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