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General NPI Number Information
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NPI Number | 1104726827
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Entity Type | Organization
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Legal Business Name | UPLIFT DIALYSIS OF CENTRAL ARKANSAS LLC
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 6705 W 12TH ST STE 7
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1568
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Country | US
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Telephone | 501-376-6922
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Fax | 501-376-7808
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Provider Business Mailing Address
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Address Line | 6701 W 12TH ST STE 14
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1556
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Country | US
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Telephone | 501-376-6922
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Fax | 501-376-7808
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Authorized Official
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Title or Position | VP, CFO
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Name | JAMES DAVID WARD
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Credential |
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Telephone | 501-376-6922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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