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General NPI Number Information
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NPI Number | 1477365591
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Entity Type | Individual
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Provider Name | CORTNI PAIGE HULETT PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 3109 SOUTHWEST DRIVE
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City | JONESBORO
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State | AR
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Zip | 72404
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Country | US
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Telephone | 870-336-2090
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Fax | 870-974-5083
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Provider Business Mailing Address
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Address Line | 225 E WASHINGTON AVE
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City | JONESBORO
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State | AR
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Zip | 72401-3111
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Country | US
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Telephone | 870-207-4100
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Fax |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT5580
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License Number State | AR
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