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General NPI Number Information
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NPI Number | 1285787697
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Entity Type | Organization
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Legal Business Name | HARMONY GROVE PUBLIC SCHOOLS - BENTON
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2621 N HIGHWAY 229
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City | BENTON
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State | AR
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Zip | 72015-7206
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Country | US
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Telephone | 501-778-2107
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Fax | 501-778-3964
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Provider Business Mailing Address
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Address Line | 2621 N HIGHWAY 229
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City | BENTON
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State | AR
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Zip | 72015-7206
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Country | US
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Telephone | 501-778-2107
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Fax | 501-778-3964
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Authorized Official
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Title or Position | SPECIAL EDUCATION SUPERVISOR
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Name | DR. REBECCA AUSTIN
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Credential | DR.
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Telephone | 501-778-2107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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