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General NPI Number Information
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NPI Number | 1790441707
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Entity Type | Organization
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Legal Business Name | HEALING HANDS TRAVELING THERAPY
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Dates
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Enumeration Date | 11/14/2021
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Last Update Date | 11/14/2021
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Provider Practice Location Address
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Address Line | 6 EVE LN
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City | CONWAY
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State | AR
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Zip | 72034-9379
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Country | US
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Telephone | 501-499-1884
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Fax |
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Provider Business Mailing Address
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Address Line | 6 EVE LN
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City | CONWAY
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State | AR
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Zip | 72034-9379
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Country | US
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Telephone | 501-499-1884
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | TINA R HEMPHILL
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Credential | MS, OTR/L
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Telephone | 501-472-3133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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