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General NPI Number Information
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NPI Number | 1134277320
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Entity Type | Organization
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Legal Business Name | PEDIATRICS PLUS THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 01/06/2007
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 2740 COLLEGE AVE
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City | CONWAY
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State | AR
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Zip | 72034-6141
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Country | US
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Telephone | 501-329-5459
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Fax | 501-327-1738
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Provider Business Mailing Address
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Address Line | 1000 SWN DRIVE SUITE 101
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City | CONWAY
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State | AR
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Zip | 72032-7836
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Country | US
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Telephone | 501-328-3274
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMANDA DENTON
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Credential | MSPT
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Telephone | 501-329-5459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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