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General NPI Number Information
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NPI Number | 1609482785
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Entity Type | Organization
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Legal Business Name | DUNCAN FAMILY EYE CARE INC
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 405 S BROADWAY ST
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City | MARLOW
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State | OK
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Zip | 73055-3029
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Country | US
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Telephone | 580-658-5774
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Fax |
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Provider Business Mailing Address
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Address Line | 3590 N HIGHWAY 81
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City | DUNCAN
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State | OK
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Zip | 73533-8930
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Country | US
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Telephone | 580-255-9717
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Fax |
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Authorized Official
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Title or Position | INSURANCE DIRECTOR
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Name | JACQUELINE BECK
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Credential |
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Telephone | 580-255-9717
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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 |
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License Number State |
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