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General NPI Number Information
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NPI Number | 1952674913
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Entity Type | Organization
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Legal Business Name | TRINA PIPER-HUGHBANKS O D INC
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 410 4TH ST STE D
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City | ALVA
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State | OK
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Zip | 73717-2363
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Country | US
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Telephone | 580-327-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 410 4TH ST STE D
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City | ALVA
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State | OK
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Zip | 73717-2363
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Country | US
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Telephone | 580-327-3335
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. TRINA PIPER-HUGHBANKS
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Credential | O.D.
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Telephone | 580-327-3335
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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 | 2165
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License Number State | OK
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