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NPI 1437042363

NPI 1437042363 : WORTH AUDIOLOGY PLLC : OWASSO, OK

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General NPI Number Information
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    NPI Number           |    1437042363
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    Entity Type          |    Organization 
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    Legal Business Name  |    WORTH AUDIOLOGY PLLC 
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Dates
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    Enumeration Date     |    05/30/2025
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    Last Update Date     |    09/03/2025
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Provider Practice Location Address
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    Address Line         |    11300 N GARNETT RD 
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    City                 |    OWASSO
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    State                |    OK
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    Zip                  |    74055-4258
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    Country              |    US
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    Telephone            |    918-516-1919
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    Fax                  |    539-664-7792
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Provider Business Mailing Address
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    Address Line         |    11300 N GARNETT RD 
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    City                 |    OWASSO
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    State                |    OK
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    Zip                  |    74055-4258
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    Country              |    US
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    Telephone            |    918-516-1919
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    Fax                  |    539-664-7792
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JESSICA LEA WORTH 
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    Credential           |    
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    Telephone            |    918-516-1919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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