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General NPI Number Information
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NPI Number | 1598403768
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Entity Type | Individual
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Provider Name | BAILEY ALISSA VOIGHTS M.H.S CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 6817 CUMBERLAND RD
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City | FORT WORTH
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State | TX
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Zip | 76116-9101
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Country | US
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Telephone | 817-815-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 CHERI WHITLOCK DR
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761
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Country | US
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Telephone | 417-489-6816
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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 | 116849
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License Number State | TX
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