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General NPI Number Information
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NPI Number | 1780506311
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Entity Type | Individual
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Provider Name | DR. KENNEDY PAIGE MCCLAIN
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Gender | Female
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 11300 N GARNETT RD
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City | OWASSO
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State | OK
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Zip | 74055-4258
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Country | US
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Telephone | 918-516-1919
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Fax | 539-664-7792
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Provider Business Mailing Address
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Address Line | 13343 N 131ST EAST AVE
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City | COLLINSVILLE
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State | OK
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Zip | 74021-4395
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Country | US
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Telephone | 918-344-6569
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 6772
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License Number State | OK
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