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General NPI Number Information
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NPI Number | 1093720443
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Entity Type | Organization
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Legal Business Name | ARKANSAS UROLOGY, P.A.
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 1300 CENTERVIEW DR
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4349
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Country | US
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Telephone | 501-219-8900
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Fax | 501-537-1875
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Provider Business Mailing Address
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Address Line | 1300 CENTERVIEW DR
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4349
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Country | US
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Telephone | 501-219-8900
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Fax | 501-537-1875
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE MANAGEMENT
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Name | DENISE LYNN BELFORD
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Credential |
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Telephone | 501-219-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1117630001
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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