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General NPI Number Information
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NPI Number | 1649719279
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Entity Type | Organization
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Legal Business Name | HILLCREST THERAPY CENTER
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 101 N WOODROW ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4341
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Country | US
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Telephone | 501-612-7254
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Fax |
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Provider Business Mailing Address
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Address Line | 101 N WOODROW ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4341
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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 | LICENSED CERTIFIED SOCIAL WORKER
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Name | KATE RICHARDS
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Credential | MSW, LCSW
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Telephone | 501-612-7254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 7341-C
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License Number State | AR
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