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General NPI Number Information
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NPI Number | 1316464423
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Entity Type | Organization
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Legal Business Name | HILL COUNTRY THERAPY
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 08/29/2017
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Provider Practice Location Address
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Address Line | 3901 N HIGHWAY 7
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City | HOT SPRINGS
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State | AR
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Zip | 71909-9604
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Country | US
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Telephone | 501-209-4026
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ALAMITO LN
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-3057
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Country | US
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Telephone | 870-448-6687
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | MRS. KRYSTLE NICOLE OWEN
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Credential | MS., CCC-SLP
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Telephone | 501-209-4026
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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 | SP3045
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License Number State | AR
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