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General NPI Number Information
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NPI Number | 1528406485
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Entity Type | Organization
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Legal Business Name | ACCUTECH LABORATORIES, INC.
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Dates
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Enumeration Date | 06/12/2013
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 5565 NW EXPRESSWAY
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City | WARR ACRES
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State | OK
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Zip | 73132-5230
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Country | US
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Telephone | 405-603-2956
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Fax | 405-603-2986
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Provider Business Mailing Address
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Address Line | 5565 NW EXPRESSWAY
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City | WARR ACRES
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State | OK
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Zip | 73132-5230
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Country | US
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Telephone | 405-603-2956
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Fax | 405-603-2986
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LARRY D DEMAIO
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Credential |
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Telephone | 918-695-3487
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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 |
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License Number State |
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