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General NPI Number Information
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NPI Number | 1114104486
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Entity Type | Organization
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Legal Business Name | WESTERN OKLAHOMA HEARING
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 04/04/2012
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Provider Practice Location Address
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Address Line | 509 E FRANKLIN AVE
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City | WEATHERFORD
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State | OK
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Zip | 73096-5337
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Country | US
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Telephone | 580-774-2333
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Fax | 580-774-2373
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Provider Business Mailing Address
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Address Line | 1745 N WASHINGTON
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City | WEATHERFORD
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State | OK
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Zip | 73096
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Country | US
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Telephone | 580-774-2333
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Fax | 580-774-2373
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. MELINDA LINDSEY
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Credential |
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Telephone | 580-774-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 264
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License Number State | OK
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