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General NPI Number Information
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NPI Number | 1023065117
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICAL CENTER OF IZARD COUNTY
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 09/04/2012
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Provider Practice Location Address
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Address Line | 203 TATE SPRINGS RD
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City | MELBOURNE
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State | AR
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Zip | 72556-8237
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Country | US
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Telephone | 870-368-1911
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Fax | 870-368-1910
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Provider Business Mailing Address
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Address Line | 203 TATE SPRINGS RD
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City | MELBOURNE
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State | AR
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Zip | 72556-8237
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Country | US
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Telephone | 870-368-1911
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Fax | 870-368-1910
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. TED TOPOLEWSKI
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Credential | CEO/CFO
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Telephone | 870-297-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | AR3931
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License Number State | AR
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