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General NPI Number Information
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NPI Number | 1164964482
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Entity Type | Individual
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Provider Name | JENINE F. RIEMER MA, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2016
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 1201 W. BOYD ST.
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City | NORMAN
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State | OK
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Zip | 73069-4801
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Country | US
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Telephone | 405-366-7898
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Fax | 405-366-0010
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Provider Business Mailing Address
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Address Line | 2221 DIANA LANE
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City | NORMAN
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State | OK
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Zip | 73071-9714
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Country | US
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Telephone | 405-510-5248
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Fax | 405-366-0010
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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 | 4059
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License Number State | OK
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