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General NPI Number Information
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NPI Number | 1023259785
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Entity Type | Individual
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Provider Name | TERESA HARKEY
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Gender | Female
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Dates
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Enumeration Date | 03/10/2009
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14715 BRISTOL PARK BLVD
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City | EDMOND
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State | OK
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Zip | 73013-1894
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Country | US
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Telephone | 405-610-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 INDIAN GRASS CT
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City | EDMOND
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State | OK
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Zip | 73013-9309
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Country | US
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Telephone | 405-788-2384
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 366478
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2352
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License Number State | OK
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