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General NPI Number Information
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NPI Number | 1093579898
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Entity Type | Organization
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Legal Business Name | MEDLINC INC
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 2401 JOHN ASHLEY DR
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City | N LITTLE ROCK
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State | AR
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Zip | 72114-1825
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Country | US
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Telephone | 501-683-2382
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Fax |
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Provider Business Mailing Address
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Address Line | 1515 MERRILL D RIVE ST E 100
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City | LITTLE ROCK
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State | AR
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Zip | 72211
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Country | US
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Telephone | 501-492-7200
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Fax | 501-492-7211
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Authorized Official
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Title or Position | DIRECTOR
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Name | REBECCA L ADDISON
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Credential |
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Telephone | 501-492-7200
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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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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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