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General NPI Number Information
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NPI Number | 1831677970
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Entity Type | Individual
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Provider Name | ELLEN CLAIRE PLAGG MS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 13819 QUAIL POINTE DR
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City | OKLAHOMA CITY
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State | OK
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Zip | 73134-1066
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Country | US
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Telephone | 405-467-6782
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Fax | 405-467-6100
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Provider Business Mailing Address
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Address Line | 1824 COMMONS CIR STE B
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City | YUKON
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State | OK
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Zip | 73099-9538
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Country | US
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Telephone | 405-467-6782
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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 | 2018024937
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | 5582
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License Number State | OK
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