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General NPI Number Information
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NPI Number | 1700994878
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Entity Type | Organization
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Legal Business Name | OKLAHOMA STATE UNIVERSITY
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 042 MURRAY
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City | STILLWATER
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State | OK
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Zip | 74078
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Country | US
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Telephone | 405-744-6021
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Fax | 405-744-8070
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Provider Business Mailing Address
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Address Line | 042 MURRAY
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City | STILLWATER
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State | OK
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Zip | 74078-5062
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Country | US
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Telephone | 405-744-6021
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Fax | 405-744-8070
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DONITA R TEFFT
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Credential |
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Telephone | 405-744-8939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | OK
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Taxonomy #2
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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 | OK
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