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General NPI Number Information
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NPI Number | 1578653564
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Entity Type | Organization
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Legal Business Name | EFFECTIVE COMMUNICATION LLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10020 MAHLER PL
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-3312
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Country | US
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Telephone | 405-206-2077
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Fax | 405-607-0452
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Provider Business Mailing Address
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Address Line | 10020 MAHLER PL
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City | OKLAHOMA CITY
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State | OK
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Zip | 73120-3312
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Country | US
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Telephone | 405-206-2077
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Fax | 405-607-0452
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | KELLY JANE DAVIS
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Credential | M ED, CCC-SLP
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Telephone | 405-206-2077
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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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