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General NPI Number Information
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NPI Number | 1053062737
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Entity Type | Organization
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Legal Business Name | SOAR DEVELOPMENTAL AND BEHAVIORAL THERAPIES PLLC
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Dates
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Enumeration Date | 01/13/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 11501 FINANCIAL CENTRE PKWY
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3715
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Country | US
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Telephone | 501-215-1654
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26347
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City | LITTLE ROCK
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State | AR
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Zip | 72221-6347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAYDEN CHENAULT
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Credential | OTD, OTR/L
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Telephone | 501-215-1654
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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