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General NPI Number Information
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NPI Number | 1043139983
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Entity Type | Organization
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Legal Business Name | SOUTH TULSA SPEECH RESOURCES, LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 5003 E 108TH ST
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City | TULSA
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State | OK
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Zip | 74137-7240
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Country | US
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Telephone | 918-212-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 5003 E 108TH ST
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City | TULSA
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State | OK
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Zip | 74137-7240
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Country | US
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Telephone | 918-212-4477
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH LANGUAGE PATHOLOGIST
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Name | BROOKE KLINTWORTH
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Credential |
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Telephone | 918-212-4477
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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 |
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License Number State |
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