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General NPI Number Information
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NPI Number | 1831212273
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Entity Type | Organization
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Legal Business Name | REGINA ROWLAND SPEECH THERAPY SERVICES, INC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 131 POLK ROAD 238
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City | MENA
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State | AR
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Zip | 71953-9688
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Country | US
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Telephone | 479-394-6785
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Fax | 479-394-6552
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Provider Business Mailing Address
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Address Line | 131 POLK ROAD 238
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City | MENA
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State | AR
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Zip | 71953-9688
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Country | US
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Telephone | 479-394-6785
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Fax | 479-394-6552
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Authorized Official
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Title or Position | OWNER
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Name | REGINA ROWLAND
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Credential | CCC-SLP
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Telephone | 479-394-6785
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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 | 672
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License Number State | AR
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