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General NPI Number Information
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NPI Number | 1457671919
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Entity Type | Organization
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Legal Business Name | SPEECH AND BEYOND, LLC
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Dates
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Enumeration Date | 06/08/2010
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 240 S ADAMS ST
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City | JENKS
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State | OK
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Zip | 74037-2573
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Country | US
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Telephone | 918-812-1770
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Fax | 918-209-4788
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Provider Business Mailing Address
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Address Line | 240 S ADAMS ST
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City | JENKS
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State | OK
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Zip | 74037-2573
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Country | US
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Telephone | 918-409-0157
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Fax | 918-209-4788
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | BRANDI BERTRAND
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Credential |
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Telephone | 918-409-0157
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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 | 3507
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License Number State | OK
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