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General NPI Number Information
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NPI Number | 1205550431
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Entity Type | Individual
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Provider Name | LORENA I RAMIREZ CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 09/30/2022
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Provider Practice Location Address
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Address Line | 7019 NW CACHE RD
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City | LAWTON
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State | OK
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Zip | 73505-2707
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Country | US
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Telephone | 580-536-1279
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 WOLFE RD APT H
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City | FORT SILL
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State | OK
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Zip | 73503-1453
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Country | US
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Telephone | 813-629-8858
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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 | OK
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