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General NPI Number Information
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NPI Number | 1144775859
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Entity Type | Individual
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Provider Name | RACHEL HUMMINGBIRD SLP-A
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Gender | Female
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 520 W DIVISION ST
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City | STILWELL
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State | OK
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Zip | 74960-2812
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Country | US
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Telephone | 918-696-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 500 CHINCAPIN ST.
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City | WESTVILLE
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State | OK
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Zip | 74965-2812
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Country | US
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Telephone | 723-564-4918
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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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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA148
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License Number State | OK
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