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General NPI Number Information
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NPI Number | 1861807570
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Entity Type | Individual
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Provider Name | LETHA MCCARRELL-KNIGHT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 9101 N RODNEY PARHAM RD STE B
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City | LITTLE ROCK
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State | AR
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Zip | 72205-1685
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Country | US
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Telephone | 501-663-2199
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Fax | 501-663-2234
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Provider Business Mailing Address
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Address Line | 9101 N RODNEY PARHAM RD STE B
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City | LITTLE ROCK
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State | AR
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Zip | 72205-1685
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Country | US
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Telephone | 501-389-8100
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Fax | 888-977-2956
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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