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General NPI Number Information
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NPI Number | 1508892100
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Entity Type | Organization
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Legal Business Name | CENTRAL HEALTH THERAPY AND REHABILIATION LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 624 N DUDNEY RD
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City | MAGNOLIA
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State | AR
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Zip | 71753-3050
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Country | US
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Telephone | 870-235-1100
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Fax | 870-235-3030
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Provider Business Mailing Address
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Address Line | PO BOX 548
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City | MAGNOLIA
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State | AR
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Zip | 71754-0548
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Country | US
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Telephone | 870-235-1100
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Fax | 870-235-3030
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN R. BUTLER
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Credential | D.C.
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Telephone | 870-235-1100
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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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