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General NPI Number Information
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NPI Number | 1225386881
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Entity Type | Organization
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Legal Business Name | DUBWIG THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 6453 STEPHANIE COVE
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City | HARRISON
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State | AR
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Zip | 72601-5591
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Country | US
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Telephone | 870-391-9912
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Fax |
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Provider Business Mailing Address
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Address Line | 6453 STEPHANIE COVE
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City | HARRISON
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State | AR
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Zip | 72601-5591
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Country | US
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Telephone | 870-391-9912
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. PATRICIA LYNN DUBWIG
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Credential | OTR/L
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Telephone | 870-391-9912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OTR1332
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License Number State | AR
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