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General NPI Number Information
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NPI Number | 1376679845
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Entity Type | Individual
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Provider Name | MRS. KAREN HANSON
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/24/2009
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Provider Practice Location Address
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Address Line | 1500 WILSON LOOP ROAD
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City | WARD
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State | AR
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Zip | 72176
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Country | US
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Telephone | 501-941-5630
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Fax |
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Provider Business Mailing Address
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Address Line | 191 HANSON DR
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City | CABOT
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State | AR
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Zip | 72023-7583
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Country | US
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Telephone | 501-743-8520
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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 | SP#2524
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License Number State | AR
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