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General NPI Number Information
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NPI Number | 1699482281
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Entity Type | Organization
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Legal Business Name | CENTRAL ARKANSAS TESTING & THERAPY CENTER
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 2850 PRINCE ST STE 53
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City | CONWAY
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State | AR
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Zip | 72034-3600
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Country | US
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Telephone | 501-764-3002
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Fax | 866-514-7628
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Provider Business Mailing Address
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Address Line | 2850 PRINCE ST STE 53
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City | CONWAY
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State | AR
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Zip | 72034-3600
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Country | US
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Telephone | 501-764-3002
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Fax | 866-514-7628
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Authorized Official
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Title or Position | OWNER
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Name | COLLIN DAVIES
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Credential | LPE-I
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Telephone | 501-764-3002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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