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General NPI Number Information
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NPI Number | 1760565410
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Entity Type | Organization
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Legal Business Name | BILLY G SLOAT PC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 705 S OAKWOOD RD SUITE C-1
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City | ENID
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State | OK
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Zip | 73703-6277
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Country | US
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Telephone | 580-237-9379
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Fax | 580-237-9380
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Provider Business Mailing Address
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Address Line | 705 S OAKWOOD RD SUITE C-1
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City | ENID
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State | OK
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Zip | 73703-6277
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Country | US
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Telephone | 580-237-9379
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Fax | 580-237-9380
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Authorized Official
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Title or Position | OWNER
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Name | DR. BILLY G. SLOAT
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Credential | O.D.
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Telephone | 580-237-9379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 1034
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License Number State | OK
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