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General NPI Number Information
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NPI Number | 1841299658
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Entity Type | Organization
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Legal Business Name | HARRISON PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 1420 HIGHWAY 62 65 N STE A
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City | HARRISON
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State | AR
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Zip | 72601-1959
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Country | US
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Telephone | 870-743-4438
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Fax | 870-741-0736
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Provider Business Mailing Address
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Address Line | 1420 HIGHWAY 62 65 N STE A
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City | HARRISON
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State | AR
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Zip | 72601-1959
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Country | US
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Telephone | 870-743-4438
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Fax | 870-741-0736
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHENANDOAH LEE BORCHERS
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Credential | P.T.
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Telephone | 870-743-4438
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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 | PT1784
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTR423
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT782
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License Number State | AR
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