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General NPI Number Information
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NPI Number | 1558704015
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Entity Type | Organization
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Legal Business Name | KUYKENDALL HEARING AID CENTER, L.L.C.
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 05/01/2013
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Provider Practice Location Address
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Address Line | 3201 N VAN BUREN ST STE 200
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City | ENID
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State | OK
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Zip | 73703-1800
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Country | US
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Telephone | 580-234-6168
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Fax |
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Provider Business Mailing Address
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Address Line | 3201 N VAN BUREN ST STE 200
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City | ENID
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State | OK
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Zip | 73703-1800
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Country | US
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Telephone | 580-234-6168
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | R GREG KUYKENDALL
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Credential |
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Telephone | 580-234-6168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 855
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 219
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License Number State | OK
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