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General NPI Number Information
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NPI Number | 1720375868
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Entity Type | Organization
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Legal Business Name | R.D.ADKINS AND ASSOICIATES LLC
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 09/23/2011
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Provider Practice Location Address
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Address Line | 1008 S MAIN ST
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City | GROVE
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State | OK
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Zip | 74344-2864
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Country | US
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Telephone | 918-786-4565
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Fax | 918-786-4531
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Provider Business Mailing Address
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Address Line | PO BOX 451506
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City | GROVE
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State | OK
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Zip | 74345-1506
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Country | US
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Telephone | 918-786-4565
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Fax | 918-786-4531
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. RONALD G HAYNES
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Credential | BC-HIS OKLAHOMA 619
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Telephone | 918-786-4565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 619
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License Number State | OK
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