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General NPI Number Information
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NPI Number | 1013060029
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Entity Type | Organization
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Legal Business Name | STEADMAN THERAPY PA
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Dates
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Enumeration Date | 01/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12715 PEACH ORCHARD RD
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City | BENTONVILLE
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State | AR
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Zip | 72712-9050
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Country | US
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Telephone | 479-273-3139
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Fax | 479-271-6604
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Provider Business Mailing Address
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Address Line | 12715 PEACH ORCHARD RD
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City | BENTONVILLE
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State | AR
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Zip | 72712-9050
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Country | US
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Telephone | 479-273-3139
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Fax | 479-271-6604
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Authorized Official
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Title or Position | PRESIDENT
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Name | HUNTER M STEADMAN
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Credential |
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Telephone | 479-273-3139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT263
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License Number State | AR
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