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General NPI Number Information
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NPI Number | 1487619110
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Entity Type | Organization
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Legal Business Name | WATSON SPEECH AND HEARING SPECIALISTS, INC.
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2474 E JOYCE BLVD SUITE 2
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4519
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Country | US
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Telephone | 479-502-7207
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Fax | 479-636-1595
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Provider Business Mailing Address
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Address Line | 4501 HILLSIDE DR
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City | ROGERS
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State | AR
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Zip | 72758-8912
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Country | US
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Telephone | 479-502-7207
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Fax | 479-636-1595
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. CINDY ANNE WATSON
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Credential | M.ED.,CCC-SLP
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Telephone | 479-502-7207
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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 | 1165
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License Number State | AR
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