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General NPI Number Information
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NPI Number | 1114833076
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Entity Type | Organization
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Legal Business Name | KIDS UNLIMITED LEARNING ACADEMY OF CABOT
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 3148 HIGHWAY 367 S
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City | CABOT
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State | AR
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Zip | 72023-7473
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Country | US
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Telephone | 501-941-3500
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Fax | 501-246-7919
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Provider Business Mailing Address
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Address Line | 3148 HIGHWAY 367 S
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City | CABOT
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State | AR
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Zip | 72023-7473
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Country | US
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Telephone | 501-941-3500
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Fax | 877-769-1668
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Authorized Official
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Title or Position | CEO
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Name | SHELLY A. KELLER
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Credential |
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Telephone | 870-932-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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