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NPI 1891035051

NPI 1891035051 : CHRIS WARD DDS & ASSOCIATES : OWASSO, OK

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General NPI Number Information
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    NPI Number           |    1891035051
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRIS WARD DDS & ASSOCIATES 
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Dates
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    Enumeration Date     |    02/26/2013
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    Last Update Date     |    02/26/2013
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Provider Practice Location Address
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    Address Line         |    12814 E 101ST PL N SUITE 101
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    City                 |    OWASSO
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    State                |    OK
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    Zip                  |    74055-4662
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    Country              |    US
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    Telephone            |    918-274-4466
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    Fax                  |    918-274-4419
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Provider Business Mailing Address
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    Address Line         |    12814 E 101ST PL N SUITE 101
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    City                 |    OWASSO
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    State                |    OK
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    Zip                  |    74055-4662
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    Country              |    US
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    Telephone            |    918-274-4466
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    Fax                  |    918-274-4419
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. CHRISTOPHER K WARD 
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    Credential           |    DDS
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    Telephone            |    918-274-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    5500
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    License Number State |    OK
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