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General NPI Number Information
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NPI Number | 1578292413
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Entity Type | Organization
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Legal Business Name | WHITE'S FITNESS & REHABILITATION INC.
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 5302 W VILLAGE PKWY STE 1
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City | ROGERS
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State | AR
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Zip | 72758-8139
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Country | US
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Telephone | 620-660-2852
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 ALLENS MILL WAY
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City | CAVE SPRINGS
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State | AR
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Zip | 72718-5034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PT, DPT
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Name | ERIN WHITE
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Credential | PT, DPT
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Telephone | 620-660-2852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 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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