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General NPI Number Information
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NPI Number | 1972759652
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Entity Type | Individual
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Provider Name | STACEY ALEXANDER COX SLP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 4901 WESTERN HILLS AVE
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City | LITTLE ROCK
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State | AR
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Zip | 72204-8426
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Country | US
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Telephone | 501-447-6942
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Fax | 501-447-6901
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Provider Business Mailing Address
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Address Line | 810 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72201-1306
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Country | US
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Telephone | 501-447-6942
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Fax | 501-447-6100
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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#982
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License Number State | AR
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