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General NPI Number Information
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NPI Number | 1710155536
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL PROFESSIONAL SEVICES INC.
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 03/04/2012
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Provider Practice Location Address
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Address Line | 509 NORTH VALENTINE ST.
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4135
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Country | US
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Telephone | 501-350-0819
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Fax | 501-747-1535
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Provider Business Mailing Address
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Address Line | 509 NORTH VALENTINE ST.
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4135
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Country | US
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Telephone | 501-350-0819
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Fax | 501-747-1535
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEE ANN DAVIS
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Credential | OTR/L
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Telephone | 501-350-0819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | OTR363
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License Number State | AR
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