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General NPI Number Information
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NPI Number | 1497868566
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Entity Type | Organization
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Legal Business Name | COMMUNICATION GAP, LLC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 7201 NORTH CLASSEN BLVD. SUITE 106
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7123
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Country | US
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Telephone | 405-840-1335
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Fax | 405-840-1336
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Provider Business Mailing Address
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Address Line | 7201 NORTH CLASSEN BLVD. SUITE 106
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-7123
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Country | US
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Telephone | 405-840-1335
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Fax | 405-840-1336
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. LISA SHULTZABARGER
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Credential | M. ED., CCC-SLP
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Telephone | 405-840-1335
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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 |
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License Number State |
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