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General NPI Number Information
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NPI Number | 1437292414
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Entity Type | Organization
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Legal Business Name | MOUNTIAN PINE SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 690 BLAKELY DAM ROAD
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City | MOUNTAIN PINE
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State | AR
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Zip | 71956-0001
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Country | US
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Telephone | 501-767-2421
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Fax | 501-767-1549
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Provider Business Mailing Address
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Address Line | PO BOX 1
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City | MOUNTAIN PINE
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State | AR
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Zip | 71956-0001
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Country | US
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Telephone | 501-767-2421
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Fax | 501-767-1549
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. MONICA SCOTT
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Credential | M.S., CCC-SLP
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Telephone | 501-767-2421
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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#1220
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License Number State | AR
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