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General NPI Number Information
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NPI Number | 1083439012
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Entity Type | Organization
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Legal Business Name | DELTA MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 103 W WATERMAN ST
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City | DUMAS
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State | AR
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Zip | 71639-2139
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Country | US
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Telephone | 870-382-4303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 887
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City | DUMAS
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State | AR
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Zip | 71639-0887
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SKYE WELLS
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Credential |
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Telephone | 870-382-4303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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