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General NPI Number Information
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NPI Number | 1053264168
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Entity Type | Organization
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Legal Business Name | BE.DYNAMIC, LLC
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 1345 E HENRI DE TONTI BLVD STE E
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City | TONTITOWN
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State | AR
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Zip | 72762-5347
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Country | US
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Telephone | 479-222-1052
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Fax |
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Provider Business Mailing Address
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Address Line | 827 BRUSH CREEK RD
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City | TONTITOWN
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State | AR
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Zip | 72762-9421
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Country | US
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Telephone | 479-318-5977
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | DR. RACHEL VIRDEN
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Credential | PT, DPT
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Telephone | 479-318-5977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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