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General NPI Number Information
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NPI Number | 1598647547
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Entity Type | Individual
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Provider Name | MARY CELESTE MARRS BS, SLPA
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Gender | Female
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1940 FALLS BLVD N
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City | WYNNE
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State | AR
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Zip | 72396-4027
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Country | US
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Telephone | 870-588-5190
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Fax | 870-621-2283
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Provider Business Mailing Address
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Address Line | 1940 FALLS BLVD N
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City | WYNNE
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State | AR
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Zip | 72396-4027
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Country | US
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Telephone | 870-588-5190
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Fax | 870-621-2283
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 203226
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License Number State | AR
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