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General NPI Number Information
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NPI Number | 1104842111
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Entity Type | Organization
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Legal Business Name | THERAPY SOLUTIONS OF NEA, INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2208 FOWLER AVE SUITE C
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City | JONESBORO
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State | AR
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Zip | 72401-6115
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Country | US
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Telephone | 870-931-0808
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Fax | 870-972-0929
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Provider Business Mailing Address
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Address Line | 2208 FOWLER AVE SUITE C
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City | JONESBORO
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State | AR
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Zip | 72401-6115
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Country | US
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Telephone | 870-931-0808
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Fax | 870-972-0929
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. EMMETT PAUL MILAM
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Credential | M.C.D., CCC-SLP
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Telephone | 870-931-0808
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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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