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General NPI Number Information
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NPI Number | 1578972899
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Entity Type | Individual
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Provider Name | ALISON HAMBUCHEN
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Gender | Female
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 582 HIGHWAY 365 STE 3
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City | MAYFLOWER
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State | AR
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Zip | 72106-9525
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Country | US
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Telephone | 501-470-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 86 RICHLAND HILLS DR
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City | CONWAY
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State | AR
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Zip | 72034-9673
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Country | US
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Telephone |
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Fax |
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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 | SP588
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License Number State | AR
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