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General NPI Number Information
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NPI Number | 1053534651
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Entity Type | Individual
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Provider Name | PATRICIA ANN MUNSON M.S.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 304 S SOWELL ST
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City | SEARCY
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State | AR
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Zip | 72143-6356
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Country | US
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Telephone | 501-268-9227
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Fax | 501-268-7734
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Provider Business Mailing Address
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Address Line | 2300 CHARLESTOWNE DR
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City | SEARCY
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State | AR
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Zip | 72143-7024
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Country | US
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Telephone | 501-268-1595
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Fax | 501-268-7734
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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 | 633
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License Number State | AR
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