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NPI 1437115961

NPI 1437115961 : ARCHWAY THERAPY SERVICES : FAYETTEVILLE, AR

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General NPI Number Information
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    NPI Number           |    1437115961
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARCHWAY THERAPY SERVICES 
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Dates
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    Enumeration Date     |    04/24/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    125 W SUNBRIDGE DR 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72703-1899
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    Country              |    US
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    Telephone            |    479-587-9201
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    Fax                  |    479-527-9439
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Provider Business Mailing Address
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    Address Line         |    125 W SUNBRIDGE DR 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72703-1899
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    Country              |    US
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    Telephone            |    479-587-9201
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    Fax                  |    479-527-9439
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MISSY  BAUGH 
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    Credential           |    
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    Telephone            |    479-587-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational 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        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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