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General NPI Number Information
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NPI Number | 1437657988
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Entity Type | Individual
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Provider Name | MORGAN ELIZABETH SHEPHERD M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 1227 N MAIN ST
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City | MIAMI
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State | OK
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Zip | 74354
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Country | US
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Telephone | 918-542-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 11595 S 540 RD
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City | MIAMI
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State | OK
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Zip | 74354-5273
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Country | US
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Telephone | 918-533-3940
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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 | 2018014357
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4993
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License Number State | OK
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