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General NPI Number Information
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NPI Number | 1598088320
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Entity Type | Organization
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Legal Business Name | ARKANSAS HEARING SOLUTIONS
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 1225 BRECKENRIDGE DR
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City | LITTLE ROCK
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State | AR
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Zip | 72205-1558
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Country | US
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Telephone | 501-225-2922
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 425
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City | GREENBRIER
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State | AR
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Zip | 72058-0425
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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 | DOCTOR OF AUDIOLOGY / OWNER
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Name | DR. SAMUEL KELSO
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Credential | AU.D.
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Telephone | 501-225-2922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A147
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License Number State | AR
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