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General NPI Number Information
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NPI Number | 1417314352
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Entity Type | Organization
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Legal Business Name | NO LIMITS PEDIATRIC THERAPIES
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 910 NW 7TH ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-4565
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Country | US
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Telephone | 501-240-5225
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Fax |
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Provider Business Mailing Address
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Address Line | 910 NW 7TH ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-4565
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Country | US
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Telephone | 501-240-5225
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | TERRICA WEATHERFORD
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Credential | OTR/L
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Telephone | 501-240-5225
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR2562
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License Number State | AR
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