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General NPI Number Information
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NPI Number | 1235263799
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Entity Type | Organization
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Legal Business Name | DRS. HINKLE & CASH OPT,, INC.
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 12720 E 86TH ST N
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City | OWASSO
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State | OK
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Zip | 74055-2548
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Country | US
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Telephone | 918-272-5311
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Fax |
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Provider Business Mailing Address
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Address Line | P. O. BOX 300
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City | OWASSO
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State | OK
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Zip | 74055
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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 | OFFICE MGR.
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Name | SHELLEY MOODY
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Credential | LPN
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Telephone | 918-272-5311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | OK
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