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General NPI Number Information
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NPI Number | 1922349166
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Entity Type | Individual
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Provider Name | ALICEA LOTT SLPA
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Gender | Female
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Dates
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Enumeration Date | 03/13/2013
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 10310 W MARKHAM ST STE 201
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City | LITTLE ROCK
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State | AR
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Zip | 72205-1579
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Country | US
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Telephone | 501-406-7910
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Fax |
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Provider Business Mailing Address
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Address Line | 221 RANEY PL
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City | JACKSONVILLE
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State | AR
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Zip | 72076-4527
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Country | US
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Telephone | 501-831-3279
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 13007
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License Number State | AR
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