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General NPI Number Information
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NPI Number | 1174047351
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Entity Type | Individual
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Provider Name | ERIN KISH SPANN MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 925 E DIXON RD
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City | LITTLE ROCK
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State | AR
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Zip | 72206-4115
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Country | US
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Telephone | 501-690-1503
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Fax |
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Provider Business Mailing Address
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Address Line | 23 BREVA CIR
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City | MAYFLOWER
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State | AR
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Zip | 72106-9521
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Country | US
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Telephone |
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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 | OTR3952
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License Number State | AR
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