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General NPI Number Information
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NPI Number | 1134100431
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Entity Type | Individual
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Provider Name | SUSAN GLEE HOUSLEY MSPT
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Gender | Female
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 400 S HIGHWAY 27
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City | MARSHALL
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State | AR
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Zip | 72650-7884
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Country | US
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Telephone | 870-448-5732
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Fax | 870-448-2514
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | MARSHALL
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State | AR
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Zip | 72650-0190
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Country | US
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Telephone | 870-448-5732
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Fax | 870-448-2514
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 1757
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License Number State | AR
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