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General NPI Number Information
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NPI Number | 1902395072
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Entity Type | Organization
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Legal Business Name | THERAPY INSYNC LLC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 704 N MAIN ST
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City | NEWCASTLE
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State | OK
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Zip | 73065-4115
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Country | US
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Telephone | 405-669-0908
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Fax |
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Provider Business Mailing Address
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Address Line | 1137 PACIFIC AVE
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City | NEWCASTLE
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State | OK
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Zip | 73065-5127
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Country | US
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Telephone | 405-669-0908
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | DANIELLE MCGREGOR
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Credential | M.A. CCC-SLP
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Telephone | 405-669-0908
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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 | 4251
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License Number State | OK
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