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General NPI Number Information
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NPI Number | 1023533189
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Entity Type | Individual
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Provider Name | ALYSSA MARIE KNIGHT MS,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 1900 E 15TH ST STE 800B
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City | EDMOND
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State | OK
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Zip | 73013-6682
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Country | US
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Telephone | 405-455-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 2097 COLUMBUS RD APT 10
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City | CLEVELAND
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State | OH
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Zip | 44113-4228
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Country | US
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Telephone |
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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 | 5062
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License Number State | OK
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