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General NPI Number Information
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NPI Number | 1396077830
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Entity Type | Organization
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Legal Business Name | CHAD A. CATRON, D.D.S, P.C
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Dates
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Enumeration Date | 02/09/2010
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 19 N 2ND ST
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City | STILWELL
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State | OK
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Zip | 74960-3003
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Country | US
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Telephone | 918-696-4200
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Fax | 918-696-5322
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Provider Business Mailing Address
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Address Line | 19 N 2ND ST
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City | STILWELL
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State | OK
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Zip | 74960-3003
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RDH/FRONT OFFICE
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Name | JENNIFER DUKE
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Credential |
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Telephone | 918-696-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 5187
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5187
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License Number State | OK
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