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General NPI Number Information
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NPI Number | 1942599907
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Entity Type | Individual
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Provider Name | SUSAN DAWN WESTMORELAND M.S.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 1245 WHIPPOORWILL VISTA
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City | CHOCTAW
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State | OK
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Zip | 73020-7029
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Country | US
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Telephone | 405-769-1034
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Fax |
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Provider Business Mailing Address
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Address Line | 4404 N DONALD AVE
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City | BETHANY
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State | OK
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Zip | 73008-2728
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Country | US
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Telephone | 405-234-7534
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Fax |
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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 | 3192
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License Number State | OK
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