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General NPI Number Information
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NPI Number | 1356348783
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Entity Type | Organization
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Legal Business Name | AFFORDABLE PRICE VISION CTR INC
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 2700 SW 29TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73119-1806
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Country | US
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Telephone | 405-632-9749
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Fax | 405-632-6331
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Provider Business Mailing Address
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Address Line | 2700 SW 29TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73119-1806
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Country | US
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Telephone | 405-632-9749
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Fax | 405-632-6331
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Authorized Official
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Title or Position | OPTOMETRIST CO OWNER
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Name | DR. CHRIS J FRY
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Credential | OD
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Telephone | 405-632-9749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 809
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 809
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License Number State | OK
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