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General NPI Number Information
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NPI Number | 1306192505
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Entity Type | Individual
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Provider Name | ALLYSON ROBINSON M.A.
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Gender | Female
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 042 MURRAY
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City | STILLWATER
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State | OK
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Zip | 74078-0001
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Country | US
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Telephone | 405-744-4608
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Fax |
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Provider Business Mailing Address
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Address Line | 042 MURRAY
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City | STILLWATER
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State | OK
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Zip | 74078-0001
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Country | US
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Telephone | 405-744-4608
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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 | 3527
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License Number State | OK
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