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General NPI Number Information
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NPI Number | 1578223749
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Entity Type | Individual
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Provider Name | JACOB BEDSOLE DPT
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Gender | Male
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 5320 W SUNSET AVE STE 168
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City | SPRINGDALE
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State | AR
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Zip | 72762-4410
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Country | US
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Telephone | 479-364-6467
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Fax | 479-239-5444
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Provider Business Mailing Address
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Address Line | 400 S DODSON RD APT 9201
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City | ROGERS
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State | AR
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Zip | 72758-5152
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Country | US
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Telephone | 870-514-3506
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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 | 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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