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General NPI Number Information
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NPI Number | 1023381738
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Entity Type | Organization
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Legal Business Name | ST. VINCENT INFIRMARY MEDICAL CENTER
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 10100 KANIS RD
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6202
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Country | US
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Telephone | 501-225-6000
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Fax | 501-255-6400
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Provider Business Mailing Address
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Address Line | 10100 KANIS RD
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6202
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Country | US
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Telephone | 501-225-6000
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Fax | 501-255-6400
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Authorized Official
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Title or Position | COO
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Name | SHAWN BARNETT
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Credential |
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Telephone | 501-552-3571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | AR
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