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General NPI Number Information
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NPI Number | 1760570949
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Entity Type | Individual
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Provider Name | CHERYL GAY HOLLINGSWORTH SLP
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1412 N PORTER AVE
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City | NORMAN
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State | OK
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Zip | 73071-6662
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Country | US
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Telephone | 405-321-8882
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Fax | 405-329-0500
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Provider Business Mailing Address
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Address Line | 900 RIVIERA DR
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City | NORMAN
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State | OK
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Zip | 73072-7607
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Country | US
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Telephone | 405-329-1457
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Fax | 405-329-0500
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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 | 125
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License Number State | OK
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