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General NPI Number Information
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NPI Number | 1649253006
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Entity Type | Organization
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Legal Business Name | STEPHENS SPEECH CLINIC PA
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Dates
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Enumeration Date | 11/21/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | PLAZA 43 200 HIGHWAY 43 EAST SUITE 7
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City | HARRISON
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State | AR
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Zip | 72601
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Country | US
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Telephone | 870-741-0500
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Fax | 870-741-6196
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Provider Business Mailing Address
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Address Line | PLAZA 43 200 HIGHWAY 43 EAST SUITE 7
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City | HARRISON
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State | AR
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Zip | 72601
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Country | US
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Telephone | 870-741-0500
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Fax | 870-741-6196
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | MRS. EUPHAMA CAROL STEPHENS
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Credential | MS CCS SLP
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Telephone | 870-741-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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