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General NPI Number Information
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NPI Number | 1740327808
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Entity Type | Individual
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Provider Name | KENDRA BRUMLEY MS PT
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 638 CALIFORNIA AVE SW
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City | CAMDEN
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State | AR
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Zip | 71701-4604
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Country | US
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Telephone | 870-836-1346
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Fax | 870-836-1446
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Provider Business Mailing Address
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Address Line | 200 UNION 433
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City | SMACKOVER
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State | AR
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Zip | 71762
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Country | US
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Telephone | 870-725-0025
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT2333
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License Number State | AR
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