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General NPI Number Information
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NPI Number | 1326495359
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Entity Type | Organization
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Legal Business Name | PEARSON'S SPEECH THERAPY
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 1530 W CENTER ST SUITE 3
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City | GREENWOOD
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State | AR
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Zip | 72936-3400
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Country | US
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Telephone | 479-252-6105
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Fax | 479-252-6263
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Provider Business Mailing Address
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Address Line | PO BOX 244 / 213 EAST MAIN
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City | HARTFORD
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State | AR
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Zip | 72938-0244
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Country | US
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Telephone | 479-462-5973
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. JULAINE MARIE PEARSON
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Credential | MS CCC-SLP
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Telephone | 479-462-5973
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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 |
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