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General NPI Number Information
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NPI Number | 1447817531
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Entity Type | Organization
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Legal Business Name | MILESTONES 4 KIDS, INC
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 715 WOODMONT CIR
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City | BATESVILLE
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State | AR
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Zip | 72501-9160
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Country | US
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Telephone | 870-217-1931
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Fax | 888-317-6879
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Provider Business Mailing Address
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Address Line | 715 WOODMONT CIR
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City | BATESVILLE
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State | AR
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Zip | 72501-9160
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Country | US
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Telephone | 870-217-1931
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Fax | 888-317-6879
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Authorized Official
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Title or Position | OT/OWNER
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Name | JENNIFER ADAIR
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Credential |
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Telephone | 870-217-1931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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