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General NPI Number Information
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NPI Number | 1558702688
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Entity Type | Individual
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Provider Name | TOMMIE ARIKA MCKOWN OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 224 NORTH ST
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City | CAVE CITY
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State | AR
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Zip | 72521-9799
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Country | US
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Telephone | 870-292-3214
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Fax |
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Provider Business Mailing Address
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Address Line | 717 VICTORY LN
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City | JONESBORO
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State | AR
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Zip | 72401-7781
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Country | US
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Telephone | 479-799-6398
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | A1422
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR3603
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License Number State | AR
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