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General NPI Number Information
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NPI Number | 1881710119
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Entity Type | Organization
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Legal Business Name | HAND REHABILLITATION OF W. ARKANSAS, INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3918 PECAN GROVE RD
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City | RUDY
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State | AR
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Zip | 72952-9026
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Country | US
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Telephone | 479-632-5916
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Fax |
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Provider Business Mailing Address
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Address Line | 3918 PECAN GROVE RD
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City | RUDY
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State | AR
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Zip | 72952-9026
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Country | US
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Telephone | 479-632-5916
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHERRY CRIPPEN
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Credential |
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Telephone | 479-632-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | AR
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