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General NPI Number Information
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NPI Number | 1093846156
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Entity Type | Organization
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Legal Business Name | THE ARTHRITIS CENTER OF THE OZARKS PLLC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 W SUNBRIDGE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1822
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Country | US
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Telephone | 479-571-8226
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Fax | 479-571-8227
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Provider Business Mailing Address
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Address Line | 6 W SUNBRIDGE DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1822
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Country | US
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Telephone | 479-571-8226
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Fax | 479-571-8227
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Authorized Official
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Title or Position | PHYSICIAN CEO
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Name | DR. MICHAEL R SAITTA
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Credential | MD
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Telephone | 479-571-8226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MC-1953
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License Number State | AR
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