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General NPI Number Information
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NPI Number | 1508241142
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Entity Type | Organization
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Legal Business Name | KEMPH PEDIATRIC THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 3909 PILGRIM LN
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City | ALTUS
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State | OK
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Zip | 73521-1077
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Country | US
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Telephone | 405-714-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 3909 PILGRIM LN
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City | ALTUS
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State | OK
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Zip | 73521-1077
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Country | US
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Telephone | 405-714-7742
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. JENNIFER KATHRYN KEMPH
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Credential | MS, CCC-SLP
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Telephone | 405-714-7742
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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 | 3765
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License Number State | OK
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