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General NPI Number Information
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NPI Number | 1801728142
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Entity Type | Individual
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Provider Name | MRS. CECELIA WILLIS
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 301 W CALHOUN
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City | MAGNOLIA
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State | AR
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Zip | 71753-3508
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Country | US
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Telephone | 870-901-3343
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Fax |
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Provider Business Mailing Address
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Address Line | 240 S RICHLAND
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City | STEPHENS
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State | AR
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Zip | 71764-8016
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Country | US
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Telephone | 870-260-6419
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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