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General NPI Number Information
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NPI Number | 1710478490
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Entity Type | Individual
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Provider Name | MISS SARAH GRACE THOMAS
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 810 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1306
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Country | US
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Telephone | 501-447-1033
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Fax | 501-447-1048
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Provider Business Mailing Address
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Address Line | 10763 BAINBRIDGE DR
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City | LITTLE ROCK
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State | AR
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Zip | 72212-1803
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Country | US
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Telephone | 501-993-5634
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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 | P9150
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License Number State | AR
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