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General NPI Number Information
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NPI Number | 1992831234
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Entity Type | Organization
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Legal Business Name | THERAPY 4 KIDS
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 92 SOUTH BROADVIEW
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City | GREENBRIER
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State | AR
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Zip | 72058
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Country | US
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Telephone | 501-581-6045
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 933
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City | GREENBRIER
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State | AR
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Zip | 72058-0933
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Country | US
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Telephone | 501-581-6045
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SCOTT HARMON
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Credential | OTRL
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Telephone | 501-581-6045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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