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General NPI Number Information
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NPI Number | 1871656702
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Entity Type | Organization
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Legal Business Name | DYSPHAGIA SERVICES, INC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1238 STONE DR
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City | BLANCHARD
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State | OK
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Zip | 73010-1227
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Country | US
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Telephone | 405-721-2879
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Fax | 405-773-4848
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Provider Business Mailing Address
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Address Line | 1238 STONE DR
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City | BLANCHARD
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State | OK
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Zip | 73010-1227
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Country | US
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Telephone | 405-721-2879
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Fax | 405-773-4848
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHELLY STRATTON
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Credential |
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Telephone | 405-721-2879
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number |
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License Number State |
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