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General NPI Number Information
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NPI Number | 1215963541
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC AND EDUCATIONAL SOLUTIONS, PLC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 1605 2ND ST
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City | EARLE
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State | AR
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Zip | 72331-1634
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Country | US
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Telephone | 870-559-3057
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Fax | 866-831-5299
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Provider Business Mailing Address
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Address Line | PO BOX 2418
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City | WEST MEMPHIS
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State | AR
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Zip | 72303-2418
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Country | US
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Telephone | 870-559-3057
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Fax | 866-831-5299
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. JACQUELYN DENISE GILBERT
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Credential | PT
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Telephone | 870-559-3057
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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 | 906
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License Number State | AR
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