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General NPI Number Information
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NPI Number | 1295868941
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Entity Type | Organization
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Legal Business Name | DRUMMOND OPTICAL, LLC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/17/2007
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Provider Practice Location Address
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Address Line | 424 S KNOBLOCK ST
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City | STILLWATER
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State | OK
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Zip | 74074-3024
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Country | US
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Telephone | 405-743-0110
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Fax | 405-743-0111
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Provider Business Mailing Address
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Address Line | 424 S KNOBLOCK ST
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City | STILLWATER
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State | OK
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Zip | 74074-3024
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Country | US
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Telephone | 405-743-0110
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Fax | 405-743-0111
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN E. DRUMMOND
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Credential | M.D.
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Telephone | 405-743-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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