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NPI 1265934160

NPI 1265934160 : PEDIATRIC COMMUNICATION SOLUTIONS, INC : NORMAN, OK

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General NPI Number Information
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    NPI Number           |    1265934160
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEDIATRIC COMMUNICATION SOLUTIONS, INC 
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Dates
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    Enumeration Date     |    03/06/2018
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    Last Update Date     |    04/24/2024
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Provider Practice Location Address
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    Address Line         |    4331 ADAMS RD STE 111 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73069-1007
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    Country              |    US
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    Telephone            |    405-438-0090
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    Fax                  |    405-493-0717
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Provider Business Mailing Address
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    Address Line         |    1810 MARYMOUNT RD 
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    City                 |    NORMAN
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    State                |    OK
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    Zip                  |    73071-3948
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    Country              |    US
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    Telephone            |    405-990-9417
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    Fax                  |    405-493-0717
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SHELLY DEANN GEDDES 
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    Credential           |    M.S., CCC-SLP
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    Telephone            |    405-438-0090
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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       |    3255
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    License Number State |    OK
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