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General NPI Number Information
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NPI Number | 1043708001
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Entity Type | Organization
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Legal Business Name | STATCO-PALMER, INC.
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 105 CRACKER BOX LANE SUITE B
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City | HOT SPRINGS
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State | AR
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Zip | 71913
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Country | US
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Telephone | 501-525-9996
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Fax | 501-525-2155
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Provider Business Mailing Address
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Address Line | 105 CRACKER BOX LN STE B
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City | HOT SPRINGS
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State | AR
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Zip | 71913-5490
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Country | US
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Telephone | 501-525-9996
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Fax | 501-525-2155
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN CLARE BEATY
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Credential | A.U.D.
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Telephone | 501-525-9996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 315
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License Number State | AR
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