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General NPI Number Information
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NPI Number | 1114560935
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Entity Type | Organization
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Legal Business Name | TOWN & COUNTRY SCHOOL INC.
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 8906 E 34TH ST
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City | TULSA
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State | OK
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Zip | 74145-3404
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Country | US
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Telephone | 918-296-3113
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Fax | 918-298-8175
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Provider Business Mailing Address
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Address Line | 8906 E 34TH ST
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City | TULSA
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State | OK
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Zip | 74145-3404
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Country | US
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Telephone | 918-296-3113
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Fax | 918-298-8175
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Authorized Official
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Title or Position | PRINCIPAL/SUPERINTENDENT
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Name | MS. SHEVAUN GABRIELLE ETIER
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Credential | MS
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Telephone | 918-296-3113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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