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General NPI Number Information
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NPI Number | 1023240595
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Entity Type | Organization
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Legal Business Name | CENTRAL ARKANSAS ORTHODONTIC ASSOCIATES, LLC.
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 3320 CENTRAL AVENUE
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City | HOT SPRINGS
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State | AR
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Zip | 71913
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Country | US
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Telephone | 501-321-0560
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Fax | 501-321-0551
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Provider Business Mailing Address
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Address Line | 5100 TALLEY RD STE 100
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City | LITTLE ROCK
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State | AR
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Zip | 72204-8032
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Country | US
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Telephone | 501-321-0560
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Fax | 501-321-0551
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. BRYAN HILLER
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Credential |
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Telephone | 501-321-0560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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