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General NPI Number Information
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NPI Number | 1104773639
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Entity Type | Organization
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Legal Business Name | ARIES LEARNING & THERAPY LLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 1201 W LONG HILLS RD
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City | BENTON
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State | AR
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Zip | 72019-1779
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Country | US
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Telephone | 501-316-4137
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Fax |
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Provider Business Mailing Address
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Address Line | 234 E RIDGEWOOD
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City | ALEXANDER
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State | AR
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Zip | 72002-7926
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Country | US
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Telephone | 501-672-6908
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | JACQUELYN LARISSA DIXON
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Credential |
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Telephone | 501-672-6908
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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