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General NPI Number Information
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NPI Number | 1053313916
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Entity Type | Organization
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Legal Business Name | AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 3600 WHEELER AVE STE 2
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City | FORT SMITH
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State | AR
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Zip | 72901-6621
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Country | US
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Telephone | 479-783-4500
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Fax | 855-515-7414
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Provider Business Mailing Address
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Address Line | PO BOX 1724
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City | FORT SMITH
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State | AR
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Zip | 72902-1724
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Country | US
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Telephone | 479-783-4500
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Fax | 855-515-7414
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Authorized Official
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Title or Position | CFO
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Name | DANA CALLAWAY
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Credential |
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Telephone | 479-424-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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