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General NPI Number Information
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NPI Number | 1780919274
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Entity Type | Organization
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Legal Business Name | SOUTHERN VALLEY REHAB INC.
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Dates
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Enumeration Date | 10/16/2009
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Last Update Date | 02/29/2012
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Provider Practice Location Address
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Address Line | 14244 WATALULA RD
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City | OZARK
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State | AR
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Zip | 72949-9269
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Country | US
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Telephone | 479-209-3616
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Fax | 479-667-2706
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Provider Business Mailing Address
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Address Line | 14244 WATALULA RD
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City | OZARK
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State | AR
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Zip | 72949-9269
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Country | US
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Telephone | 479-209-3616
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Fax | 479-667-2706
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANNY PATRICK STEPP
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Credential | PT
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Telephone | 479-209-3616
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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