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General NPI Number Information
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NPI Number | 1013155431
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Entity Type | Organization
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Legal Business Name | SILOAM SPRINGS CLINIC COMPANY LLC
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Dates
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Enumeration Date | 01/22/2009
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3721 HIGHWAY 412 E STE A
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City | SILOAM SPRINGS
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State | AR
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Zip | 72761-8010
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 MERIDIAN BLVD
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City | FRANKLIN
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State | TN
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Zip | 37067-6325
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Country | US
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Telephone | 615-465-7000
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Fax | 615-465-3007
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Authorized Official
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Title or Position | DIRECTOR PROVIDER ENROLLMENT
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Name | KRISTINA MUSIC
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Credential |
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Telephone | 877-892-9815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | AR
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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