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General NPI Number Information
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NPI Number | 1013522127
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Entity Type | Organization
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Legal Business Name | SARC BY HSH ASC PINE BLUFF, LLC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 7200 S HAZEL ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7836
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Country | US
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Telephone | 870-939-6380
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Fax | 870-534-9726
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Provider Business Mailing Address
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Address Line | 7200 S HAZEL ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-7836
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Country | US
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Telephone | 870-939-6380
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Fax | 870-534-9726
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MR. MUHAMMAD MUNSIF BUTT
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Credential |
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Telephone | 501-777-2283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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