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General NPI Number Information
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NPI Number | 1093998486
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Entity Type | Individual
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Provider Name | MRS. CINDY LOUISE SMITH
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Gender | Female
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Dates
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Enumeration Date | 12/09/2007
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 207 FRED RAINS DR
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City | SHERWOOD
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State | AR
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Zip | 72120-5457
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Country | US
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Telephone | 501-834-0217
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Fax | 501-833-0957
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Provider Business Mailing Address
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Address Line | 9616 HICKORY HEIGHTS DR
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City | SHERWOOD
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State | AR
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Zip | 72120-1879
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Country | US
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Telephone | 501-590-7602
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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 | OTR573
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License Number State | AR
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