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General NPI Number Information
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NPI Number | 1609490671
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Entity Type | Organization
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Legal Business Name | JONESBORO PEDIATRIC THERAPY, INC.
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 948 COUNTY ROAD 113
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City | BONO
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State | AR
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Zip | 72416-8299
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Country | US
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Telephone | 870-219-5534
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Fax |
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Provider Business Mailing Address
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Address Line | 948 COUNTY ROAD 113
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City | BONO
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State | AR
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Zip | 72416-8299
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Country | US
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Telephone | 870-219-5534
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRYSTAL LORI JORDAN
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Credential | MCD, CCC-SLP
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Telephone | 870-219-5534
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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 |
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License Number State |
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