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General NPI Number Information
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NPI Number | 1063410223
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Entity Type | Organization
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Legal Business Name | DUVALL ENTERPRISES INC
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 1176 STATE HIGHWAY 22 W STE A
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City | DARDANELLE
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State | AR
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Zip | 72834-3006
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Country | US
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Telephone | 479-229-4040
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Fax | 479-229-4049
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Provider Business Mailing Address
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Address Line | P O BOX 240
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City | DARDANELLE
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State | AR
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Zip | 72834-0240
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Country | US
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Telephone | 479-229-4040
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Fax | 479-229-4049
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MRS. MARSHA LEE PASCHAL DUVALL
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Credential | PD
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Telephone | 479-229-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AR02329
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License Number State | AR
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