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General NPI Number Information
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NPI Number | 1386016160
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Entity Type | Organization
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Legal Business Name | PRECISION ENTERPRISES INC.
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Dates
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Enumeration Date | 10/20/2015
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 1419 N MAIN ST
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City | JAY
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State | OK
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Zip | 74346-2828
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Country | US
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Telephone | 918-253-3331
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Fax | 888-213-4547
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Provider Business Mailing Address
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Address Line | PO BOX 988
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City | JAY
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State | OK
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Zip | 74346-0988
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Country | US
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Telephone | 918-253-3331
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Fax | 888-213-4547
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. CHRISTOPHER M WILCOX
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Credential | DDS
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Telephone | 918-253-3331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5363
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License Number State | OK
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