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General NPI Number Information
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NPI Number | 1841425121
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Entity Type | Individual
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Provider Name | KARI M. LAXSON MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2009
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 1318 E INDEPENDENCE ST
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City | SHAWNEE
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State | OK
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Zip | 74804-4137
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Country | US
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Telephone | 405-275-1801
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Fax | 866-347-6279
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Provider Business Mailing Address
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Address Line | 1800 ANADARKO PL
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City | EDMOND
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State | OK
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Zip | 73013-7732
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Country | US
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Telephone | 405-209-2748
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Fax | 866-347-6279
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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 | 3606
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License Number State | OK
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