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General NPI Number Information
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NPI Number | 1205826062
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Entity Type | Organization
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Legal Business Name | STATE OF OKLAHOMA BOARD OF REGENTS THE UNIV OF OKLA HEALTH SCIENCE CT
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | JOHN W KEYS SPEECH AND HEARING CENTER 1200 N STONEWALL AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117-1215
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Country | US
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Telephone | 405-271-4214
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Fax | 405-271-3360
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Provider Business Mailing Address
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Address Line | JOHN W KEYS SPEECH AND HEARING CENTER 1200 N STONEWALL AVE
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City | OKLAHOMA CITY
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State | OK
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Zip | 73117-1215
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Country | US
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Telephone | 405-271-4214
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Fax | 405-271-3360
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Authorized Official
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Title or Position | ASSOCIATE DEAN FOR FINANCE
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Name | JENIELLE GREENLEE
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Credential | BBA MPH
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Telephone | 405-271-2288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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