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General NPI Number Information
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NPI Number | 1326200635
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Entity Type | Organization
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Legal Business Name | DAVID M. HUEY OD
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 1425 N MAIN ST
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City | ALTUS
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State | OK
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Zip | 73521-2101
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Country | US
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Telephone | 580-477-1355
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Fax | 580-477-1527
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Provider Business Mailing Address
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Address Line | 1425 N MAIN ST
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City | ALTUS
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State | OK
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Zip | 73521-2101
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Country | US
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Telephone | 580-477-1355
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Fax | 580-477-1527
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID M. HUEY
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Credential | OD
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Telephone | 580-477-1355
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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 |
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License Number State |
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