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General NPI Number Information
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NPI Number | 1790818565
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Entity Type | Individual
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Provider Name | DARCY SUZANNE FISHER M.S.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 301 SE 28TH ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-4195
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Country | US
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Telephone | 479-464-8686
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Fax | 479-464-8687
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Provider Business Mailing Address
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Address Line | 310 SIENNA DR
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City | CENTERTON
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State | AR
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Zip | 72719-9445
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Country | US
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Telephone | 419-795-0470
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Fax | 479-795-0470
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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 | 12026462
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License Number State | AR
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