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General NPI Number Information
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NPI Number | 1558640565
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Entity Type | Organization
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Legal Business Name | LITTLE BITTY CITY THERAPEUTIC SERVICES LLC
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Dates
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Enumeration Date | 08/08/2011
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 154 CORNERSTONE BLVD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6560
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Country | US
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Telephone | 501-525-7529
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Fax | 501-525-7531
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Provider Business Mailing Address
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Address Line | 1635 HIGDON FERRY RD STE C PMB 124
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6913
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Country | US
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Telephone | 501-525-7529
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Fax | 501-525-7531
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. SARA WILHITE
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Credential | MSSE
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Telephone | 501-627-4388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | IN23
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License Number State | AR
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