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General NPI Number Information
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NPI Number | 1780393207
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Entity Type | Organization
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Legal Business Name | JOYOUS OT
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | C/O 1302 CUMBERLAND
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone | 501-664-1788
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Fax |
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Provider Business Mailing Address
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Address Line | C/O 217 JOHNSON STREET
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City | LITTLE ROCK
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State | AR
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Zip | 72205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRITOR
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Name | EMILY BROWN
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Credential |
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Telephone | 501-664-1788
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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 |
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License Number State |
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