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General NPI Number Information
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NPI Number | 1457526790
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Entity Type | Organization
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Legal Business Name | ARKANSAS PAIN CENTER PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/28/2008
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 2504 MCCAIN BLVD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-7607
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Country | US
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Telephone | 501-771-2799
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 308
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City | CONWAY
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State | AR
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Zip | 72033-0308
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Country | US
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Telephone | 501-771-4370
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Fax | 501-327-9722
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Authorized Official
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Title or Position | INSURANCE BILLER
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Name | DONNA MURPHY
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Credential |
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Telephone | 501-771-4370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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