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General NPI Number Information
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NPI Number | 1780125922
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Entity Type | Organization
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Legal Business Name | NEAT REHAB, PLC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 722 L H POLK DR
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City | MARION
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State | AR
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Zip | 72364-5015
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Country | US
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Telephone | 901-598-7078
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Fax |
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Provider Business Mailing Address
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Address Line | 722 L H POLK DR
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City | MARION
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State | AR
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Zip | 72364-5015
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Country | US
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Telephone | 901-598-7078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN NAVE
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Credential | OTD
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Telephone | 901-598-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR 1978
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License Number State | AR
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