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General NPI Number Information
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NPI Number | 1831005420
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Entity Type | Organization
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Legal Business Name | OUTCOMES ABA LLC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 1600 SW BROAD ST
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City | HOXIE
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State | AR
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Zip | 72433-2419
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Country | US
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Telephone | 870-637-1800
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Fax | 877-447-5311
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Provider Business Mailing Address
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Address Line | 1600 SW BROAD ST
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City | HOXIE
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State | AR
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Zip | 72433-2419
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Country | US
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Telephone | 870-637-1800
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Fax | 877-447-5311
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Authorized Official
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Title or Position | CFO
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Name | JEREMY ELLIS
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Credential |
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Telephone | 870-637-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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