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General NPI Number Information
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NPI Number | 1487289450
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Entity Type | Organization
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Legal Business Name | HOWARD COUNTY CHILDRENS CENTER INC
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 03/10/2020
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Provider Practice Location Address
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Address Line | 145 HONEYCUTT RD
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City | NASHVILLE
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State | AR
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Zip | 71852-7611
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Country | US
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Telephone | 870-845-3138
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Fax | 870-845-3169
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Provider Business Mailing Address
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Address Line | 1577 HIGHWAY 371 W
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City | NASHVILLE
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State | AR
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Zip | 71852-7598
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Country | US
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Telephone | 870-845-1211
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Fax | 870-845-0015
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Authorized Official
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Title or Position | BILLING CLERK
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Name | RENE BENNETT
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Credential | DO
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Telephone | 870-845-1211
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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 |
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License Number State |
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