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General NPI Number Information
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NPI Number | 1942144498
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Entity Type | Individual
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Provider Name | JORDAN ALYSSA SCRIBNER
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Gender | Female
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 1801 W 40TH AVE STE 1B
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City | PINE BLUFF
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State | AR
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Zip | 71603-6924
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Country | US
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Telephone | 870-541-6055
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Fax |
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Provider Business Mailing Address
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Address Line | 27 GREEN TIMBER WAY
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City | VILONIA
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State | AR
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Zip | 72173-9249
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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