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General NPI Number Information
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NPI Number | 1255049573
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Entity Type | Individual
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Provider Name | ERIKA R COLES
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 102 E HARDING ST
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City | MORRILTON
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State | AR
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Zip | 72110-2047
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Country | US
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Telephone | 501-697-9881
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Fax |
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Provider Business Mailing Address
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Address Line | 48 CANEY VALLEY DR
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City | PLUMERVILLE
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State | AR
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Zip | 72127-8725
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Country | US
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Telephone | 501-467-1089
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OT-A1809
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License Number State | AR
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