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General NPI Number Information
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NPI Number | 1902083280
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Entity Type | Organization
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Legal Business Name | M. PATRICK DAY, OD, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 565 S 30TH ST
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City | CLINTON
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State | OK
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Zip | 73601-3656
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Country | US
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Telephone | 580-323-5421
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Fax | 866-585-2957
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Provider Business Mailing Address
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Address Line | PO BOX 606
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City | CLINTON
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State | OK
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Zip | 73601-0606
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Country | US
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Telephone | 580-323-5421
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Fax | 866-585-2957
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Authorized Official
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Title or Position | CO-OWNER/OPTOMETRIST
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Name | MARSHALL PATRICK DAY
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Credential | OD
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Telephone | 580-323-5421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 918
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License Number State | OK
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