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General NPI Number Information
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NPI Number | 1144929266
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Entity Type | Organization
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Legal Business Name | BRIXEY THERAPY SERVICES
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 9220 HIGHWAY 71 S STE 10
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City | FORT SMITH
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State | AR
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Zip | 72916-9151
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Country | US
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Telephone | 479-763-1412
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Fax | 479-763-1425
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Provider Business Mailing Address
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Address Line | 9220 HIGHWAY 71 S STE 10
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City | FORT SMITH
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State | AR
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Zip | 72916-9151
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Country | US
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Telephone | 479-763-1412
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Fax | 479-763-1425
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Authorized Official
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Title or Position | OWNER
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Name | LESLIE KOHLER
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Credential | MS ED SLP
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Telephone | 479-763-1412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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