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General NPI Number Information
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NPI Number | 1295546810
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Entity Type | Organization
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Legal Business Name | MANSFIELD PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 106 E HOWARD ST
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City | MANSFIELD
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State | AR
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Zip | 72944
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Country | US
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Telephone | 479-883-6983
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 233
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City | MANSFIELD
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State | AR
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Zip | 72944-0233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM JARROD NEWMAN
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Credential |
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Telephone | 479-252-1904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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