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General NPI Number Information
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NPI Number | 1497347900
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Entity Type | Individual
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Provider Name | JADA M. MILLER M.S., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2021
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 2580 EAST JOYCE BLVD STE 12
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3924
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Country | US
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Telephone | 479-521-7337
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Fax | 479-521-7338
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Provider Business Mailing Address
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Address Line | 2580 EAST JOYCE BLVD STE 12
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3924
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Country | US
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Telephone | 479-521-7337
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Fax | 479-521-7338
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP203188
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP-P203188
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License Number State | AR
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