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General NPI Number Information
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NPI Number | 1861500969
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Entity Type | Individual
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Provider Name | DONITA R TEFFT M.A., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 042 MURRAY
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City | STILLWATER
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State | OK
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Zip | 74078-5062
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Country | US
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Telephone | 405-744-6021
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Fax | 405-744-8070
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Provider Business Mailing Address
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Address Line | 129 E MARIE DR
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City | STILLWATER
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State | OK
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Zip | 74075-1676
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Country | US
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Telephone | 580-402-2568
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Fax | 405-744-8070
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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 | 3107
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License Number State | OK
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