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General NPI Number Information
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NPI Number | 1316163371
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Entity Type | Organization
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Legal Business Name | WILLIAM E. LEE, OD, INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 311 SE DELAWARE AVE
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City | BARTLESVILLE
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State | OK
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Zip | 74003-3631
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Country | US
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Telephone | 918-336-0607
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Fax | 918-337-9163
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Provider Business Mailing Address
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Address Line | 311 SE DELAWARE AVE
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City | BARTLESVILLE
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State | OK
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Zip | 74003-3631
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Country | US
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Telephone | 918-336-0607
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Fax | 918-337-9163
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JOHN WESTON DICK II
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Credential |
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Telephone | 918-336-0607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 800
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License Number State | OK
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