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NPI 1801395470

NPI 1801395470 : O.E.CARE,P.C : JAY, OK

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General NPI Number Information
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    NPI Number           |    1801395470
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    Entity Type          |    Organization 
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    Legal Business Name  |    O.E.CARE,P.C 
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Dates
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    Enumeration Date     |    02/08/2018
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    Last Update Date     |    02/08/2018
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Provider Practice Location Address
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    Address Line         |    33001 S 625 RD 
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    City                 |    JAY
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    State                |    OK
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    Zip                  |    74346-5631
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    Country              |    US
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    Telephone            |    918-931-8182
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16150 NW 126TH ST 
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    City                 |    PLATTE CITY
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    State                |    MO
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    Zip                  |    64079-7308
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    Country              |    US
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    Telephone            |    844-237-2868
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    Fax                  |    844-475-9145
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. NANCY A JENKS 
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    Credential           |    
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    Telephone            |    844-237-2868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    
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