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General NPI Number Information
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NPI Number | 1295168284
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Entity Type | Organization
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Legal Business Name | CRAIG & STREIGHT ORTHODONTICS
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 706 24TH AVE NW
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City | NORMAN
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State | OK
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Zip | 73069-6232
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Country | US
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Telephone | 405-321-1926
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Fax | 405-321-1542
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Provider Business Mailing Address
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Address Line | 706 24TH AVE NW
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City | NORMAN
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State | OK
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Zip | 73069-6232
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Country | US
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Telephone | 405-321-1926
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Fax | 405-321-1542
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBI LYNN CRAIG
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Credential | DDS
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Telephone | 405-321-1926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 145
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License Number State | OK
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