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General NPI Number Information
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NPI Number | 1023101581
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Entity Type | Organization
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Legal Business Name | WILLIAM F. SLAUGHTER
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 1701 E BROADWAY
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City | WEST MEMPHIS
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State | AR
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Zip | 72301
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Country | US
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Telephone | 870-735-1653
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Fax | 870-735-5496
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Provider Business Mailing Address
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Address Line | 1701 E BROADWAY
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City | WEST MEMPHIS
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State | AR
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Zip | 72301
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Country | US
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Telephone | 870-735-1653
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Fax | 870-735-5496
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM FRANK SLAUGHTER
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Credential | P.D.
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Telephone | 870-735-1653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD05106
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License Number State | AR
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