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General NPI Number Information
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NPI Number | 1780969477
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Entity Type | Organization
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Legal Business Name | PARAGOULD THERAPIES, PLC
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Dates
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Enumeration Date | 10/13/2011
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Last Update Date | 10/13/2011
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Provider Practice Location Address
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Address Line | 293 GREENE 606
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City | PARAGOULD
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State | AR
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Zip | 72450-9785
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Country | US
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Telephone | 870-236-0156
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Fax | 870-335-9564
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Provider Business Mailing Address
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Address Line | 293 GREENE 606
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City | PARAGOULD
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State | AR
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Zip | 72450-9785
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Country | US
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Telephone | 870-236-0156
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Fax | 870-335-9564
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | KIM QUINN
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Credential | PT
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Telephone | 870-236-0156
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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 | 2121
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License Number State | AR
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