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General NPI Number Information
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NPI Number | 1699598672
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Entity Type | Individual
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Provider Name | KATHERINE WELD PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 724 DEAVER ST
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City | SPRINGDALE
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State | AR
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Zip | 72764-5356
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Country | US
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Telephone | 479-259-2339
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Fax |
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Provider Business Mailing Address
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Address Line | 1450 W SUNSET PL
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-1627
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Country | US
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Telephone | 870-623-1795
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Fax |
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 5586
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License Number State | AR
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