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General NPI Number Information
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NPI Number | 1033222013
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Entity Type | Organization
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Legal Business Name | PRYOR PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 421 CHESAPEAKE DR
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City | SEARCY
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State | AR
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Zip | 72143-7035
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Country | US
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Telephone | 501-230-4233
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Fax | 501-368-0947
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Provider Business Mailing Address
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Address Line | 421 CHESAPEAKE DR
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City | SEARCY
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State | AR
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Zip | 72143-7035
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Country | US
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Telephone | 501-230-4233
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Fax | 501-368-0947
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Authorized Official
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Title or Position | PT/OWNER
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Name | MS. ROBBIE LANA PRYOR
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Credential | PT
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Telephone | 501-230-4233
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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 | 1887
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License Number State | AR
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