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General NPI Number Information
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NPI Number | 1104858208
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Entity Type | Organization
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Legal Business Name | OUACHITA COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/18/2007
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Provider Practice Location Address
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Address Line | 104 W TAYLOR ST
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City | SPARKMAN
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State | AR
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Zip | 71763
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Country | US
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Telephone | 870-836-1387
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Fax | 870-836-1548
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Provider Business Mailing Address
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Address Line | P.O. BOX 797
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City | CAMDEN
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State | AR
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Zip | 71711
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Country | US
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Telephone | 870-836-1387
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Fax | 870-836-1548
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Authorized Official
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Title or Position | CFO
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Name | MR. ROBERT J ANDERS
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Credential |
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Telephone | 870-836-1387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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