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General NPI Number Information
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NPI Number | 1588309116
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Entity Type | Organization
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Legal Business Name | SHYNE CHILDCARE CENTER
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 235 W DUFFY ST
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City | NORMAN
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State | OK
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Zip | 73069-5825
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Country | US
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Telephone | 405-537-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 4109 HIDDEN LAKE CIR
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City | MOORE
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State | OK
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Zip | 73160-5428
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Country | US
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Telephone | 405-537-2256
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | SHEILA CLIFTON
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Credential |
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Telephone | 405-537-2256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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