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General NPI Number Information
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NPI Number | 1073303061
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Entity Type | Individual
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Provider Name | BRENNA KAY NOWELL M.S., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 5404 SW LEE BLVD
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City | LAWTON
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State | OK
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Zip | 73505-9521
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Country | US
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Telephone | 580-355-5242
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Fax |
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Provider Business Mailing Address
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Address Line | 19713 FILLY DR
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City | EDMOND
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State | OK
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Zip | 73012-3469
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Country | US
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Telephone | 405-248-7373
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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 |
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License Number State |
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