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General NPI Number Information
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NPI Number | 1447550546
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Entity Type | Individual
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Provider Name | SARA C WILHITE MSE/DT
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Gender | Female
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Dates
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Enumeration Date | 10/24/2010
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Last Update Date | 10/24/2010
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Provider Practice Location Address
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Address Line | 4332 CENTRAL AVE STE N
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City | HOT SPRINGS
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State | AR
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Zip | 71913-7437
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Country | US
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Telephone | 501-525-7529
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Fax | 501-525-7531
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Provider Business Mailing Address
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Address Line | 1635 HIGDON FERRY RD STE C PMB 124
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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 | 501-627-4388
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Fax | 501-525-7531
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | I10IN23A
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License Number State | AR
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