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General NPI Number Information
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NPI Number | 1710340872
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Entity Type | Individual
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Provider Name | MRS. MALEIGH INBODEN
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Gender | Female
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 151 SOUTHWEST DR
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City | JONESBORO
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State | AR
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Zip | 72401-5828
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Country | US
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Telephone | 870-932-0090
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Fax | 870-930-9336
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Provider Business Mailing Address
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Address Line | 226 COUNTY ROAD 380
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City | BONO
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State | AR
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Zip | 72416-8642
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Country | US
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Telephone | 870-974-0478
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3899
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License Number State | AR
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