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General NPI Number Information
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NPI Number | 1578251542
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Entity Type | Organization
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Legal Business Name | OCCUPLAYTIONAL THERAPY SERVICES
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 262 E BOSWELL ST
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City | BATESVILLE
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State | AR
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Zip | 72501-6933
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Country | US
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Telephone | 870-613-0793
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Fax |
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Provider Business Mailing Address
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Address Line | 24 SUNSHINE LN
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City | CAVE CITY
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State | AR
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Zip | 72521-9520
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Country | US
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Telephone | 870-613-0793
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | KENDRA HOGGARD
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Credential | COTA/L
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Telephone | 870-613-0793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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