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General NPI Number Information
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NPI Number | 1609747773
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Entity Type | Individual
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Provider Name | LISA S BATEMAN SPEECH PATHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/21/2025
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Provider Practice Location Address
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Address Line | 1501 NE 30TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73111-4101
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Country | US
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Telephone | 405-587-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 615 N CLASSEN BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-7440
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Country | US
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Telephone | 405-587-0000
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6059
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License Number State | OK
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