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General NPI Number Information
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NPI Number | 1679390884
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Entity Type | Organization
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Legal Business Name | PLAYCATION, PLLC
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 105 CENTER HILL PLZ
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City | PARAGOULD
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State | AR
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Zip | 72450-3402
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Country | US
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Telephone | 870-565-9770
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Fax |
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Provider Business Mailing Address
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Address Line | 105 CENTER HILL PLZ
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City | PARAGOULD
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State | AR
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Zip | 72450-3402
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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 | MANAGER
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Name | CHAD SANDERS
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Credential | RN
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Telephone | 870-565-9770
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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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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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