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General NPI Number Information
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NPI Number | 1972726578
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ARKANSAS
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 606 N RAZORBACK RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3110
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Country | US
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Telephone | 479-575-4509
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Fax | 479-575-4507
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Provider Business Mailing Address
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Address Line | 606 N RAZORBACK RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3110
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Country | US
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Telephone | 479-575-4509
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Fax | 479-575-4507
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Authorized Official
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Title or Position | DIRECTOR OF CLINICAL SERVICES
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Name | MRS. ALETHA LIN COOK
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Credential | MS CCC SLP
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Telephone | 479-575-4509
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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