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General NPI Number Information
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NPI Number | 1750415337
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Entity Type | Organization
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Legal Business Name | WILLIAM B SPARKS DC PC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2103 W MAIN ST
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City | NORMAN
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State | OK
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Zip | 73069-6459
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Country | US
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Telephone | 405-447-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 2103 W MAIN ST
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City | NORMAN
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State | OK
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Zip | 73069-6459
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Country | US
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Telephone |
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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. WILLIAM B SPARKS
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Credential | DC
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Telephone | 405-447-9700
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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 | 3437
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3290
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License Number State | OK
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