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General NPI Number Information
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NPI Number | 1194746438
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Entity Type | Organization
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Legal Business Name | CABOT PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1909 N 2ND ST
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City | CABOT
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State | AR
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Zip | 72023-2209
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Country | US
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Telephone | 501-843-7157
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Fax | 501-843-4617
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Provider Business Mailing Address
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Address Line | 1909 N 2ND ST
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City | CABOT
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State | AR
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Zip | 72023-2209
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Country | US
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Telephone | 501-843-7157
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Fax | 501-843-4617
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. CRAIG L HILL
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Credential | PT
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Telephone | 501-843-7157
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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 | PT1094
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License Number State | AR
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