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General NPI Number Information
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NPI Number | 1811385602
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Entity Type | Organization
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Legal Business Name | PA AND ASSOCIATES LLC
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Dates
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Enumeration Date | 12/31/2014
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 100 SHADOW OAKS DR
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City | SHERWOOD
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State | AR
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Zip | 72120-6046
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Country | US
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Telephone | 479-858-9827
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Fax |
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Provider Business Mailing Address
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Address Line | 3808 BUNKER HILL DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-6978
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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 | RN/DIRECTOR
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Name | MS. LYNDA LOUISE COBERLEY
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Credential | RN
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Telephone | 479-858-9827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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