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General NPI Number Information
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NPI Number | 1245760610
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Entity Type | Organization
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Legal Business Name | ENGAGE OF JONESBORO PLLC
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1919 COUNTY ROAD 333
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City | JONESBORO
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State | AR
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Zip | 72401-0432
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Country | US
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Telephone | 612-300-2039
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Fax | 870-533-5530
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Provider Business Mailing Address
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Address Line | 1919 COUNTY ROAD 333
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City | JONESBORO
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State | AR
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Zip | 72401-0432
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Country | US
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Telephone | 612-300-2039
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Fax | 870-533-5530
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Authorized Official
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Title or Position | OWNER
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Name | MARY T MORRISON
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Credential |
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Telephone | 612-300-2039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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