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General NPI Number Information
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NPI Number | 1841102274
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Entity Type | Individual
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Provider Name | ALEECE GRAVES
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Gender | Female
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 1010 STATE HIGHWAY 77
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City | MARION
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State | AR
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Zip | 72364-9007
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Country | US
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Telephone | 870-629-6072
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 CAROLINE LN APT 6
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City | MARION
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State | AR
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Zip | 72364-5052
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Country | US
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Telephone | 870-629-6072
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA1963
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License Number State | AR
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