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General NPI Number Information
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NPI Number | 1396629622
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Entity Type | Individual
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Provider Name | SAGE UTIYA OSBORNE SLPA
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 136 S DOGWOOD ST
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City | SALLISAW
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State | OK
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Zip | 74955-6645
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Country | US
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Telephone | 918-775-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 9300 CANOPY OAKS DR
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City | FORT SMITH
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State | AR
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Zip | 72903-6663
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Country | US
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Telephone | 918-809-8385
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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 |
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License Number State |
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