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General NPI Number Information
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NPI Number | 1750617809
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Entity Type | Organization
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Legal Business Name | TLC VISION CENTER PC
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 6827 S MEMORIAL DR STE. A
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City | TULSA
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State | OK
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Zip | 74133-2126
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Country | US
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Telephone | 918-398-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 6827 S MEMORIAL DR STE. A
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City | TULSA
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State | OK
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Zip | 74133-2126
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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 | PARTNER
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Name | DANIEL LANGLEY
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Credential | DO
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Telephone | 918-599-0202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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