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General NPI Number Information
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NPI Number | 1760779896
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Entity Type | Organization
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Legal Business Name | PLAY, LOVE, & WORK LLC
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 1208 RICHARD ST
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City | HOT SPRINGS
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State | AR
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Zip | 71913-5621
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Country | US
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Telephone | 870-918-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 RICHARD ST
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City | HOT SPRINGS
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State | AR
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Zip | 71913-5621
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Country | US
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Telephone | 870-918-5989
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | MS. CATHERINE L COON
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Credential | LP, RPT
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Telephone | 870-918-5989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 08-17P
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License Number State | AR
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