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General NPI Number Information
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NPI Number | 1710899950
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Entity Type | Individual
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Provider Name | ABIGAIL EASTON
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Gender | Female
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 2355 N CENTER ST STE 105
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-8210
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Country | US
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Telephone | 870-916-5455
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Fax | 870-277-0896
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Provider Business Mailing Address
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Address Line | 734 S MORNINGSIDE DR APT 215
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-6723
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Country | US
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Telephone | 539-900-1516
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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 | PTA5164
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License Number State | AR
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