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General NPI Number Information
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NPI Number | 1578651188
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Entity Type | Organization
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Legal Business Name | DAVID MACARTY, OD PC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1200 N GLENN L ENGLISH ST
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City | CORDELL
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State | OK
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Zip | 73632-2015
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Country | US
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Telephone | 580-832-3385
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Fax | 580-832-3990
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Provider Business Mailing Address
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Address Line | 1200 N GLENN L ENGLISH ST
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City | CORDELL
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State | OK
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Zip | 73632-2015
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Country | US
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Telephone | 580-832-3385
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Fax | 580-832-3990
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. JOHN DAVID MACARTY
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Credential | O.D.
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Telephone | 580-832-3385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2045
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License Number State | OK
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