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General NPI Number Information
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NPI Number | 1841361193
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Entity Type | Individual
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Provider Name | JULIE CAROLE HOLIFIELD MADRID
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Gender | Female
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Dates
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Enumeration Date | 11/10/2006
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 1720 S WALTON BLVD
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City | BENTONVILLE
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State | AR
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Zip | 72712-7172
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Country | US
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Telephone | 505-954-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 S WALTON BLVD STE 4
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City | BENTONVILLE
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State | AR
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Zip | 72712-7533
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Country | US
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Telephone | 505-501-9289
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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 | 203189
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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 | 2423
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License Number State | NM
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