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General NPI Number Information
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NPI Number | 1104614171
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Entity Type | Individual
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Provider Name | ALANNA MARIE HARVEY
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1122 S 2ND ST
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City | CABOT
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State | AR
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Zip | 72023-3347
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Country | US
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Telephone | 501-274-4422
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Fax | 501-358-6264
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Provider Business Mailing Address
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Address Line | 1000 SWN DR STE 101
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City | CONWAY
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State | AR
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Zip | 72032-2558
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Country | US
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Telephone | 501-328-3274
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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