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General NPI Number Information
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NPI Number | 1811887722
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Entity Type | Individual
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Provider Name | STEPHANIE DEDMAN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 456 BRODRICK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7550
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Country | US
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Telephone | 17-014-3485
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Fax |
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Provider Business Mailing Address
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Address Line | 234 RECTOR WARD RD
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City | JESSIEVILLE
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State | AR
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Zip | 71913
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Country | US
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Telephone | 501-454-0759
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PT5648
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License Number State | AR
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