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General NPI Number Information
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NPI Number | 1962861054
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Entity Type | Organization
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Legal Business Name | SPA CITY THERAPY, INC.
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 1635 HIGDON FERRY RD STE G
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6913
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Country | US
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Telephone | 501-525-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 1635 HIGDON FERRY RD STE G
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6913
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Country | US
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Telephone | 501-525-2273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEE D SOWERBUTTS
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Credential | MS, PT
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Telephone | 501-525-2273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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