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General NPI Number Information
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NPI Number | 1063780567
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 711 SANTA FE DR
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City | SEARCY
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State | AR
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Zip | 72143-6964
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Country | US
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Telephone | 501-279-9393
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Fax | 501-279-9073
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Provider Business Mailing Address
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Address Line | 711 SANTA FE DR
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City | SEARCY
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State | AR
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Zip | 72143-6964
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Country | US
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Telephone | 501-279-9393
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Fax | 501-279-9073
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Authorized Official
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Title or Position | CFO/VP TREASURER
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Name | LAURA GILLENWATER
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Credential | CPA
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Telephone | 501-380-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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