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General NPI Number Information
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NPI Number | 1841126018
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Entity Type | Organization
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Legal Business Name | AMBORT OPERATIONS
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 622 ALCOA RD
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City | BENTON
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State | AR
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Zip | 72015-3420
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Country | US
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Telephone | 501-352-1359
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Fax | 501-325-1919
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Provider Business Mailing Address
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Address Line | 1201 MILITARY RD STE 1
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City | BENTON
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State | AR
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Zip | 72015-2922
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Country | US
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Telephone | 501-352-1359
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Fax | 501-325-1919
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Authorized Official
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Title or Position | OWNER
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Name | VICTORIA AMBORT
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Credential | LPC
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Telephone | 501-352-1359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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