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General NPI Number Information
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NPI Number | 1528150471
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Entity Type | Organization
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Legal Business Name | DARCYN THERAPY LLC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2501 E MOORE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4751
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Country | US
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Telephone | 501-288-1199
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Fax | 501-882-1036
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Provider Business Mailing Address
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Address Line | 897 SHILOH RD
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City | BEEBE
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State | AR
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Zip | 72012-9798
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Country | US
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Telephone | 501-882-3179
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Fax | 501-882-1036
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Authorized Official
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Title or Position | OWNER
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Name | MS. DARLENE BOUDREAUX
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Credential | OTR
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Telephone | 501-882-3179
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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 | OTR751
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License Number State | AR
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