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General NPI Number Information
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NPI Number | 1245545250
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Entity Type | Individual
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Provider Name | MARGARETTE ANNE SELLARS M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 08/13/2010
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Provider Practice Location Address
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Address Line | 401 N 19TH ST
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City | VAN BUREN
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State | AR
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Zip | 72956-4617
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Country | US
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Telephone | 479-474-2661
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Fax |
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Provider Business Mailing Address
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Address Line | 514 CRYSTAL VW
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City | VAN BUREN
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State | AR
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Zip | 72956-9056
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Country | US
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Telephone | 479-414-8912
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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 |
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License Number State | AR
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