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General NPI Number Information
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NPI Number | 1306242532
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Entity Type | Individual
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Provider Name | ALYSSA ANN PITTS M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 2317 N MOUNT OLIVE ST
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-7070
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Country | US
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Telephone | 479-755-4047
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Fax |
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Provider Business Mailing Address
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Address Line | 13211 E SUGAR HILL RD
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City | LINCOLN
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State | AR
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Zip | 72744-8020
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Country | US
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Telephone | 479-790-0249
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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 | 4046
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License Number State | AR
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