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General NPI Number Information
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NPI Number | 1891963955
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Entity Type | Organization
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Legal Business Name | RINER EYECARE, INC.
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 9720 E 31ST ST #A-1
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City | TULSA
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State | OK
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Zip | 74146-1206
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Country | US
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Telephone | 918-270-4410
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Fax | 918-270-4583
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Provider Business Mailing Address
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Address Line | 9720 E 31ST ST #A-1
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City | TULSA
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State | OK
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Zip | 74146-1206
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Country | US
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Telephone | 918-270-4410
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Fax | 918-270-4583
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARYLE JAY RINER
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Credential | O.D.
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Telephone | 918-270-4410
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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 | 2107
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License Number State | OK
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