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General NPI Number Information
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NPI Number | 1841014669
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Entity Type | Organization
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Legal Business Name | STELLAR SPEECH THERAPY LLC
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 411 S 5TH ST
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City | CHICKASHA
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State | OK
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Zip | 73018-3413
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Country | US
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Telephone | 405-320-8242
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Fax |
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Provider Business Mailing Address
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Address Line | 411 S 5TH ST
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City | CHICKASHA
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State | OK
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Zip | 73018-3413
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Country | US
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Telephone | 405-823-5361
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Fax | 405-310-1196
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Authorized Official
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Title or Position | OWNER
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Name | KAMBER COVEY
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Credential | M.S. CCC-SLP
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Telephone | 405-823-5361
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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 |
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License Number State |
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