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General NPI Number Information
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NPI Number | 1114980109
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Entity Type | Organization
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Legal Business Name | AREA AGENCY ON AGING OF NORTHWEST ARKANSAS
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1510 ROCK SPRINGS RD
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City | HARRISON
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State | AR
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Zip | 72601-8804
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Country | US
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Telephone | 870-741-1144
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Fax | 870-741-1153
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Provider Business Mailing Address
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Address Line | PO BOX 1795
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City | HARRISON
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State | AR
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Zip | 72602-1795
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Country | US
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Telephone | 870-741-1144
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Fax | 870-741-1153
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RICHARD B BAILEY
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Credential |
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Telephone | 870-741-1144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | MG00523
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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