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General NPI Number Information
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NPI Number | 1093337297
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Entity Type | Individual
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Provider Name | KAYLA SHEELEY
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Gender | Female
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 13401 RAILWAY DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73114-2272
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Country | US
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Telephone | 405-841-7826
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Fax | 405-841-7827
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Provider Business Mailing Address
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Address Line | 321 E SKYVIEW DR
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City | HINTON
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State | OK
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Zip | 73047-9182
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Country | US
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Telephone | 918-978-6280
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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