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General NPI Number Information
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NPI Number | 1467627356
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Entity Type | Organization
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Legal Business Name | J ANDREW MCKAMIE DDS PC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 3645 N COUNCIL RD
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City | BETHANY
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State | OK
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Zip | 73008-3507
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Country | US
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Telephone | 405-789-7893
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Fax | 405-789-8377
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Provider Business Mailing Address
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Address Line | 3645 N COUNCIL RD
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City | BETHANY
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State | OK
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Zip | 73008-3507
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Country | US
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Telephone | 405-789-7893
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Fax | 405-789-8377
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Authorized Official
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Title or Position | DR./OWNER
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Name | DR. J ANDREW MCKAMIE
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Credential | D.D.S.
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Telephone | 405-789-7893
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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 | 4371
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License Number State | OK
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