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General NPI Number Information
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NPI Number | 1821212234
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Entity Type | Individual
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Provider Name | SHARON W BROGDEN CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | SALINE MEMORIAL HOSPITAL 1 MEDICAL PARK DRIVE
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City | BENTON
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State | AR
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Zip | 72015
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Country | US
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Telephone | 501-776-6925
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Fax |
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Provider Business Mailing Address
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Address Line | 2622 GRIST MILL RD
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City | LITTLE ROCK
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State | AR
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Zip | 72227-3821
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Country | US
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Telephone | 501-247-5090
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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 | 1738
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License Number State | AR
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