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General NPI Number Information
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NPI Number | 1346459229
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Entity Type | Individual
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Provider Name | FRANCES R RAYBURN SLP
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 707 E RUSH AVE
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City | HARRISON
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State | AR
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Zip | 72601-4404
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Country | US
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Telephone | 479-414-9733
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 GOLDEN CITY RD
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City | BOONEVILLE
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State | AR
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Zip | 72927-8463
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Country | US
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Telephone | 479-414-9733
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Fax | 479-675-3021
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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 | SP701
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License Number State | AR
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