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General NPI Number Information
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NPI Number | 1972884468
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Entity Type | Organization
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Legal Business Name | BEYOND SPEECH
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 13814 ABINGER CT
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City | LITTLE ROCK
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State | AR
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Zip | 72212-3735
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Country | US
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Telephone | 501-944-5968
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Fax |
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Provider Business Mailing Address
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Address Line | 13814 ABINGER CT
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City | LITTLE ROCK
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State | AR
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Zip | 72212-3735
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Country | US
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Telephone | 501-944-5968
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Fax |
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Authorized Official
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Title or Position | OWNER/SPEECH-PATHOLOGIST
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Name | CAROLINE CROW
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Credential |
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Telephone | 501-944-5968
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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 | ARSP2051
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License Number State | AR
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