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NPI Code Detail

MEDICARE: MS. AMBER RENEE OROLOGIO MSCCC-SLP

MEDICARE: MS. AMBER RENEE OROLOGIO MSCCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist2946OK

General Provider Information

NPI Number : 1568679173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMBER RENEE OROLOGIO MSCCC-SLP
Provider Business Mailing Address
First Line : 10000 S ROSS AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7227
Country : US
Telephone Number : 405-681-5787
Fax Number : 405-681-5787
Provider Business Practice Location Address
First Line : 5725 S ROSS AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73119-5650
Country : US
Telephone Number : 405-681-5787
Fax Number : 405-681-5787
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 07/08/2007

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