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General NPI Number Information
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NPI Number | 1245345529
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Entity Type | Individual
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Provider Name | THOMAS W. SOWELL M.S.,CCC/SLP
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Gender | Male
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4300 W 7TH ST SPEECH PATHOLOGY AND AUDIOLOGY
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5446
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Country | US
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Telephone | 501-257-5344
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Fax | 501-257-5251
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Provider Business Mailing Address
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Address Line | 6012 EAGLE CREEK RD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-5778
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Country | US
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Telephone | 501-257-5344
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP#581
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License Number State | AR
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