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General NPI Number Information
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NPI Number | 1699932699
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Entity Type | Individual
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Provider Name | SHELIA FLETCHER M.C.D.,CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 1627 HIGHWAY 62 412
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City | HIGHLAND
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State | AR
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Zip | 72542-9540
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Country | US
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Telephone | 870-257-3118
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Fax |
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Provider Business Mailing Address
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Address Line | 10 HICKORY LN
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City | CHEROKEE VILLAGE
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State | AR
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Zip | 72529-4115
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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 |
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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 | 2003018376
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License Number State | MO
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