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General NPI Number Information
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NPI Number | 1811155740
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Entity Type | Organization
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Legal Business Name | JAMES W HACKLER DDS INC
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 5010 EAST 68TH ST 102
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-492-1780
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Fax | 918-492-7823
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Provider Business Mailing Address
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Address Line | 5010 EAST 68TH ST 102
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City | TULSA
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State | OK
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Zip | 74136
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Country | US
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Telephone | 918-492-1780
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Fax | 918-492-7823
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES W HACKLER
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Credential | DDS
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Telephone | 918-492-1780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3465
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License Number State | OK
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