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General NPI Number Information
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NPI Number | 1588580245
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Entity Type | Individual
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Provider Name | TRAVIS CROWE PTA
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Gender | Male
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 9 CUNNINGHAM COR
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City | BELLA VISTA
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State | AR
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Zip | 72714-3520
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Country | US
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Telephone | 479-855-6814
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Fax | 478-855-6828
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Provider Business Mailing Address
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Address Line | 1350 S GUTENSOHN RD STE 10
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City | SPRINGDALE
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State | AR
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Zip | 72762-5210
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Country | US
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Telephone | 479-751-7122
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Fax | 479-751-7292
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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 | 4933
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License Number State | AR
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