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General NPI Number Information
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NPI Number | 1801407846
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Entity Type | Individual
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Provider Name | ALLISON WALKER GRIFFIN MS, CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 601 S MARTIN LUTHER KING JR BLVD
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City | EL DORADO
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State | AR
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Zip | 71730-7173
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Country | US
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Telephone | 501-529-3799
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Fax |
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Provider Business Mailing Address
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Address Line | 4045 IRON MOUNTAIN RD
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City | JUNCTION CITY
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State | AR
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Zip | 71749-9567
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Country | US
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Telephone | 501-529-3799
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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 | 2358
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License Number State | AR
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