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General NPI Number Information
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NPI Number | 1043355456
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Entity Type | Organization
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Legal Business Name | A PLUS PROFESSIONAL THERAPY- SPEECH-LANGUAGE SERVICES
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 306 REYNOLDS RD 306 REYNOLDS ROAD
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City | PARAGOULD
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State | AR
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Zip | 72450-2703
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Country | US
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Telephone | 870-335-2388
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Fax | 870-236-1388
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Provider Business Mailing Address
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Address Line | PO BOX 1543 306 REYNOLDS ROAD
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City | PARAGOULD
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State | AR
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Zip | 72451-1543
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Country | US
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Telephone | 870-335-2388
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Fax | 870-238-1388
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Authorized Official
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Title or Position | PARTNER
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Name | CHRISTOPHER DAVID MONTGOMERY
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Credential |
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Telephone | 870-335-2388
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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 | SP#1300
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License Number State | AR
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