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General NPI Number Information
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NPI Number | 1215196589
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Entity Type | Individual
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Provider Name | NATASHA ANN KEARBEY MCD CCC SLP
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Gender | Female
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 1013 HALEY STREET
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City | MELBOURNE
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State | AR
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Zip | 72556-0739
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Country | US
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Telephone | 870-368-7955
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Fax | 870-368-4920
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Provider Business Mailing Address
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Address Line | PO BOX 739
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City | MELBOURNE
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State | AR
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Zip | 72556-0739
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Country | US
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Telephone | 870-368-7955
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Fax | 870-368-4920
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP#1690
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License Number State | AR
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