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General NPI Number Information
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NPI Number | 1093866816
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Entity Type | Individual
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Provider Name | TINA LEA DOBBS OTR
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 500 S MAIN SCHOOL OF HOPE
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City | HOPE
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State | AR
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Zip | 71801
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Country | US
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Telephone | 870-777-4501
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Fax | 870-777-4945
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Provider Business Mailing Address
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Address Line | 1025 MC 290
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City | TEXARKANA
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State | AR
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Zip | 71854
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Country | US
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Telephone | 903-277-8678
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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 | OTR 1802
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License Number State | AR
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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 | 110719
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License Number State | TX
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