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General NPI Number Information
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NPI Number | 1841180189
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Entity Type | Individual
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Provider Name | REBECCA BALLARD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 810 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1306
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Country | US
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Telephone | 501-447-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 400 NORTHPORT DR APT 718
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City | CABOT
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State | AR
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Zip | 72023-4305
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Country | US
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Telephone | 870-514-0885
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 203280
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License Number State | AR
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