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General NPI Number Information
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NPI Number | 1336540723
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Entity Type | Organization
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Legal Business Name | MCDANIELS PLLC
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 3746 S PEORIA AVE
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City | TULSA
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State | OK
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Zip | 74105-3265
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Country | US
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Telephone | 918-992-5337
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Fax | 918-992-5338
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Provider Business Mailing Address
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Address Line | 3746 S PEORIA AVE
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City | TULSA
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State | OK
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Zip | 74105-3265
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Country | US
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Telephone | 918-992-5337
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Fax | 918-992-5338
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Authorized Official
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Title or Position | OWNER OPTOMETRIST
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Name | DR. CHRISTOPHER MICHAEL MCDANIELS
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Credential | O.D.
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Telephone | 918-992-5337
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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 | 2661
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License Number State | OK
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