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General NPI Number Information
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NPI Number | 1457490658
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Entity Type | Organization
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Legal Business Name | CAVE CITY SCHOOL
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 711 N MAIN ST
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City | CAVE CITY
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State | AR
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Zip | 72521-9103
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Country | US
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Telephone | 870-283-5391
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Fax |
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Provider Business Mailing Address
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Address Line | 711 N MAIN ST PO BOX 600
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City | CAVE CITY
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State | AR
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Zip | 72521-9103
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Country | US
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Telephone | 870-283-5391
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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 | MS. MELISSA ANN HATFIELD
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Credential | MCD, CCC-SLP
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Telephone | 870-612-0827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | AR
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