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General NPI Number Information
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NPI Number | 1013935840
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ARKANSAS MEDICAL SCIENCES
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8709 OAKHAVEN DR
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City | SHERWOOD
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State | AR
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Zip | 72120-3927
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Country | US
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Telephone | 501-835-8031
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Fax |
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Provider Business Mailing Address
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Address Line | 8709 OAKHAVEN DR
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City | SHERWOOD
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State | AR
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Zip | 72120-3927
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Country | US
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Telephone | 501-835-8031
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIETITIAN
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Name | ALISA MICHELE BROWN
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Credential | R.D., L.D.
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Telephone | 501-366-1025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number | 876
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License Number State | AR
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