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General NPI Number Information
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NPI Number | 1194063693
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Entity Type | Individual
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Provider Name | SARAH MCKINNEY
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Gender | Female
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 1801 W CLARK RD
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City | CLARKSVILLE
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State | AR
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Zip | 72830-3913
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Country | US
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Telephone | 479-754-3278
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Fax |
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Provider Business Mailing Address
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Address Line | 644 COUNTY ROAD 3590
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City | CLARKSVILLE
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State | AR
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Zip | 72830-6239
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Country | US
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Telephone | 479-979-2322
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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