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General NPI Number Information
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NPI Number | 1043406325
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Entity Type | Individual
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Provider Name | ASHLEY ELIZABETH DEWEY OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 08/09/2008
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Provider Practice Location Address
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Address Line | 3269 COTTONWOOD RD
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City | HARRISON
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State | AR
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Zip | 72601-7682
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Country | US
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Telephone | 870-688-4218
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Fax |
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Provider Business Mailing Address
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Address Line | 3269 COTTONWOOD RD
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City | HARRISON
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State | AR
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Zip | 72601-7682
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Country | US
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Telephone | 870-688-4218
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Fax |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR2137
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License Number State | AR
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