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General NPI Number Information
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NPI Number | 1528247889
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Entity Type | Individual
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Provider Name | REBEKAH MARIE JAMES M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 3851 LEGACY VILLAGE DRIVE
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City | BENTON
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State | AR
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Zip | 72015-9745
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Country | US
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Telephone | 501-350-7572
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Fax | 501-776-4059
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Provider Business Mailing Address
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Address Line | P.O. BOX 807
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City | BENTON
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State | AR
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Zip | 72018-0807
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Country | US
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Telephone | 501-350-7572
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Fax | 501-776-4059
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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 | SP#P8065
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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#2655
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License Number State | AR
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