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General NPI Number Information
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NPI Number | 1740446608
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Entity Type | Organization
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Legal Business Name | MARTIN A MEARS, PC
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 2620 E 2ND ST
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City | EDMOND
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State | OK
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Zip | 73034-6709
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Country | US
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Telephone | 405-348-2226
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Fax | 405-348-3357
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Provider Business Mailing Address
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Address Line | 2620 E 2ND ST
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City | EDMOND
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State | OK
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Zip | 73034-6709
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Country | US
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Telephone | 405-348-2226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARTIN A. MEARS
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Credential |
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Telephone | 405-348-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1781
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License Number State | OK
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