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General NPI Number Information
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NPI Number | 1487072849
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Entity Type | Individual
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Provider Name | SONDRA REED PTA, C.S.S.T.
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 1100 W MAIN ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-2818
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Country | US
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Telephone | 501-362-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 PINEWOOD DR
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-6314
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Country | US
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Telephone | 501-206-6192
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 1525
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License Number State | AR
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