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General NPI Number Information
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NPI Number | 1528615994
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Entity Type | Individual
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Provider Name | HANNAH CORDELL
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Gender | Female
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 12/21/2020
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Provider Practice Location Address
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Address Line | 1500 WILSON LOOP
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City | WARD
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State | AR
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Zip | 72176-8656
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Country | US
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Telephone | 501-588-3211
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Fax | 501-353-2599
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Provider Business Mailing Address
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Address Line | 1500 WILSON LOOP
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City | WARD
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State | AR
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Zip | 72176-8656
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Country | US
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Telephone | 501-588-3211
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Fax | 501-353-2599
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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 | 200774
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License Number State | AR
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