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General NPI Number Information
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NPI Number | 1245453455
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Entity Type | Organization
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Legal Business Name | SPARKMAN LEARNING CENTER INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 108 PORTER
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City | SPARKMAN
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State | AR
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Zip | 71763-0173
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Country | US
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Telephone | 870-678-2301
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Fax | 870-678-2887
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Provider Business Mailing Address
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Address Line | PO BOX 173
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City | SPARKMAN
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State | AR
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Zip | 71763-0173
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Country | US
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Telephone | 870-678-2301
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Fax | 870-678-2887
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MR. JESSIE CARTER
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Credential | B.A., C.C.M., S.C.
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Telephone | 870-678-2301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | AR
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