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General NPI Number Information
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NPI Number | 1568943876
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Entity Type | Individual
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Provider Name | CYNTHIA HASH
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 750 BK PICKERING
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City | TEXARKANA
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State | TX
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Zip | 75501-7550
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Country | US
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Telephone | 501-690-0828
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 442
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City | REDWATER
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State | TX
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Zip | 75573-0442
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Country | US
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Telephone | 501-690-0828
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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 | 1509
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2037976
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License Number State | TX
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