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General NPI Number Information
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NPI Number | 1124021811
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Entity Type | Organization
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Legal Business Name | LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 300 PROSPECT AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71901-4003
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Country | US
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Telephone | 501-624-1281
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Fax | 501-622-3343
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Provider Business Mailing Address
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Address Line | 300 PROSPECT AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71901-4003
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Country | US
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Telephone | 501-624-1281
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Fax | 501-622-3343
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MR. ZANE JEFFERS
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Credential |
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Telephone | 501-624-1281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2393
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License Number State | AR
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