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General NPI Number Information
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NPI Number | 1346473139
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Entity Type | Organization
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Legal Business Name | TRACY JONES PHYSICAL THERAPY SERVICES, P.A.
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Dates
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Enumeration Date | 08/27/2009
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 1107 E MATTHEWS AVE SUITE 100
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City | JONESBORO
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State | AR
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Zip | 72401-4315
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Country | US
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Telephone | 870-933-6393
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Fax | 870-933-6763
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Provider Business Mailing Address
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Address Line | 1107 E MATTHEWS AVE SUITE 100
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City | JONESBORO
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State | AR
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Zip | 72401-4315
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Country | US
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Telephone | 870-933-6393
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Fax | 870-933-6763
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MRS. TRACY RENE JONES
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Credential | MSPT
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Telephone | 870-933-6393
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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 | PT 2023
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License Number State | AR
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