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General NPI Number Information
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NPI Number | 1285089276
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Entity Type | Individual
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Provider Name | HOPE HAYES
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Gender | Female
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Dates
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Enumeration Date | 04/27/2016
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Last Update Date | 08/17/2020
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Provider Practice Location Address
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Address Line | 1200 S REYNOLDS RD
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City | BRYANT
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State | AR
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Zip | 72022-3774
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Country | US
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Telephone | 501-847-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 705 OAKWOOD
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City | BENTON
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State | AR
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Zip | 72015-3546
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Country | US
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Telephone | 501-860-8613
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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-A999
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License Number State | AR
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