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General NPI Number Information
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NPI Number | 1972626315
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Entity Type | Individual
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Provider Name | APRIL ANN MUNGLE OTRL
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Gender | Female
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7900 NORTH HIGHWAY 7
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City | JESSIEVILLE
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State | AR
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Zip | 71949
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Country | US
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Telephone | 501-984-5665
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Fax | 501-984-4200
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Provider Business Mailing Address
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Address Line | 11 FRONTERA CIR
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City | HOT SPRINGS VILLAGE
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State | AR
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Zip | 71909-3013
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Country | US
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Telephone | 501-922-3350
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OTR1403
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License Number State | AR
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