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General NPI Number Information
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NPI Number | 1114846557
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Entity Type | Organization
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Legal Business Name | ST VINCENT INFIRMARY MEDICAL CENTER
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Dates
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Enumeration Date | 07/10/2026
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Last Update Date | 07/10/2026
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Provider Practice Location Address
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Address Line | 1711 E HARDING ST
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City | MORRILTON
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State | AR
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Zip | 72110-4507
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Country | US
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Telephone | 501-354-4637
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Fax |
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Provider Business Mailing Address
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Address Line | 1711 E HARDING ST
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City | MORRILTON
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State | AR
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Zip | 72110-4507
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Country | US
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Telephone | 501-354-4637
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Fax |
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Authorized Official
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Title or Position | MARKET CEO
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Name | CHAD ADUDDELL
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Credential |
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Telephone | 501-552-3906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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