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General NPI Number Information
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NPI Number | 1770728446
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Entity Type | Organization
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Legal Business Name | THE SCHOLL CENTER FOR COMMUNICATION DISORDERS
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 4415 S HARVARD AVE STE 125
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City | TULSA
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State | OK
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Zip | 74135-9700
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Country | US
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Telephone | 918-508-7601
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Fax | 918-508-7603
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Provider Business Mailing Address
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Address Line | PO BOX 21228 DEPT 13
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City | TULSA
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State | OK
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Zip | 74121-1228
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Country | US
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Telephone | 918-508-7601
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Fax | 918-508-7602
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JACQUELINE ROGERS SCHOLL
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Credential | AUD
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Telephone | 918-508-7601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | 278
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License Number State | OK
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