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General NPI Number Information
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NPI Number | 1134796386
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Entity Type | Individual
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Provider Name | SHERIDAN ANN GRAY MS, CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 06/07/2021
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Provider Practice Location Address
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Address Line | 429 W WILSHIRE BLVD STE B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7745
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Country | US
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Telephone | 405-250-3071
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Fax | 405-849-5260
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Provider Business Mailing Address
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Address Line | 1800 GOLF COURSE DR
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City | EL RENO
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State | OK
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Zip | 73036-4215
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Country | US
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Telephone | 405-609-7124
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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 | CF344
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License Number State | OK
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