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NPI 1912111931

NPI 1912111931 : ARLETA L. KERSH SLP : VALLEY SPRINGS, AR

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General NPI Number Information
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    NPI Number           |    1912111931
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    Entity Type          |    Individual 
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    Provider Name        |    ARLETA L. KERSH SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    7349 SCHOOL STREET 
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    City                 |    VALLEY SPRINGS
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    State                |    AR
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    Zip                  |    72682
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    Country              |    US
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    Telephone            |    870-429-8100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1817 MULE MARSHALL RD 
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    City                 |    HARRISON
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    State                |    AR
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    Zip                  |    72601-9026
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    Country              |    US
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    Telephone            |    870-743-2140
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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       |    SP#1684
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    License Number State |    AR
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