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General NPI Number Information
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NPI Number | 1053005264
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Entity Type | Organization
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Legal Business Name | REMEDY HEALTH PLLC
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Dates
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Enumeration Date | 06/08/2023
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 1501 S WALDRON RD STE 100
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City | FORT SMITH
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State | AR
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Zip | 72903-2568
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Country | US
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Telephone | 479-888-8305
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Fax | 918-395-9149
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Provider Business Mailing Address
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Address Line | PO BOX 2470
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City | BROKEN ARROW
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State | OK
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Zip | 74013-2470
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Country | US
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Telephone | 918-400-0603
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Fax | 918-395-9149
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Authorized Official
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Title or Position | COO
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Name | HEATHER ASHCRAFT
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Credential |
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Telephone | 918-400-0603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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