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General NPI Number Information
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NPI Number | 1720322001
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Entity Type | Organization
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Legal Business Name | PREKINDER BEGINNING PREP ACADEMY
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 3200 GILMAN ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-5850
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Country | US
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Telephone | 501-765-5509
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 GILMAN ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-5850
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Country | US
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Telephone | 501-765-5509
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. GAYLE HALE LAMBERT
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Credential | SPECIAL EDUCATION
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Telephone | 501-765-5509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State | AR
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