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General NPI Number Information
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NPI Number | 1083690523
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Entity Type | Organization
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Legal Business Name | SALINE WOMEN'S GROUP
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Dates
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Enumeration Date | 12/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5 MEDICAL PARK DR SUITE GL2
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City | BENTON
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State | AR
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Zip | 72015-3729
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Country | US
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Telephone | 501-778-1000
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Fax | 501-778-1010
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Provider Business Mailing Address
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Address Line | 5 MEDICAL PARK DR SUITE GL2
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City | BENTON
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State | AR
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Zip | 72015-3729
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Country | US
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Telephone | 501-778-1000
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Fax | 501-778-1010
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY E DANIELS
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Credential | MD
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Telephone | 501-778-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E4589
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License Number State | AR
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