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General NPI Number Information
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NPI Number | 1326956103
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Entity Type | Individual
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Provider Name | JULIE A DICKS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 1805 N YORK ST STE H
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City | MUSKOGEE
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State | OK
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Zip | 74403-1442
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Country | US
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Telephone | 918-912-2796
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Fax |
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Provider Business Mailing Address
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Address Line | 17056 E CLOVER CIR
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City | TAHLEQUAH
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State | OK
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Zip | 74464-0595
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Country | US
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Telephone | 918-822-1198
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA465
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License Number State | OK
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