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General NPI Number Information
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NPI Number | 1073400842
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Entity Type | Individual
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Provider Name | EMILY MCMASTER LAC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 9701 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2123
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Country | US
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Telephone | 501-737-4320
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 CENTER GROVE CHURCH RD
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City | OKOLONA
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State | AR
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Zip | 71962-9558
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A2506017
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License Number State | AR
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