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General NPI Number Information
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NPI Number | 1306073176
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Entity Type | Organization
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Legal Business Name | OUTSIDE THE BOX THERAPY, LLC
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 06/29/2013
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Provider Practice Location Address
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Address Line | 154 CORNERSTONE BLVD SUITE B
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6560
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Country | US
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Telephone | 501-525-4855
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Fax | 501-525-5812
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Provider Business Mailing Address
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Address Line | 1635 HIGDON FERRY RD PMB# 238, SUITE C
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6913
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Country | US
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Telephone | 501-525-4855
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Fax | 501-525-5812
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MRS. TERRA ANITA BROWN
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Credential | OTR/L
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Telephone | 501-525-4855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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