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General NPI Number Information
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NPI Number | 1548733322
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Entity Type | Individual
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Provider Name | MRS. OMA KAY MURRAY
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Gender | Female
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Dates
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Enumeration Date | 01/04/2019
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Last Update Date | 01/04/2019
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Provider Practice Location Address
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Address Line | 420 N MAIN ST
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City | BRISTOW
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State | OK
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Zip | 74010-2015
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Country | US
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Telephone | 918-367-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 420 N MAIN ST
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City | BRISTOW
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State | OK
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Zip | 74010-2015
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Country | US
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Telephone | 918-367-5555
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA40
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License Number State | OK
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