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General NPI Number Information
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NPI Number | 1972805109
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Entity Type | Organization
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Legal Business Name | GAY LYN BYRD, M.ED., CCC/SLP
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 200 S. RANCHWOOD SUITE 17
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City | YUKON
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State | OK
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Zip | 73099-2341
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Country | US
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Telephone | 405-410-5047
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Fax |
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Provider Business Mailing Address
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Address Line | 4625 FAWN RUN DRIVE
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City | YUKON
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State | OK
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Zip | 73099-2341
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Country | US
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Telephone | 405-410-5047
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Fax | 888-523-6071
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. GAY LYN BYRD
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Credential | M.ED., CCC/SLP
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Telephone | 405-410-5047
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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 | 2977
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License Number State | OK
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