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General NPI Number Information
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NPI Number | 1386537389
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Entity Type | Individual
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Provider Name | LILLIAN JONES AUD
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 525 WESTERN AVE STE 302A
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City | CONWAY
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State | AR
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Zip | 72034-4981
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Country | US
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Telephone | 501-205-8095
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Fax | 501-205-8533
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Provider Business Mailing Address
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Address Line | PO BOX 9662
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City | CONWAY
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State | AR
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Zip | 72033-9662
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Country | US
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Telephone | 501-852-1363
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Fax | 501-852-1364
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 203146
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License Number State | AR
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