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General NPI Number Information
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NPI Number | 1124659867
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Entity Type | Organization
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Legal Business Name | OUACHITA REGIONAL COUNSELING & MENTAL HEALTH CENTER, INC.
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 371 HIGHWAY 70 E STE A
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City | GLENWOOD
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State | AR
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Zip | 71943-8832
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Country | US
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Telephone | 870-782-0179
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Fax | 870-782-0293
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Provider Business Mailing Address
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Address Line | 125 WELLNESS WAY
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6478
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Country | US
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Telephone | 501-624-7111
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Fax | 501-620-5254
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | JANE L SHERRILL
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Credential |
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Telephone | 501-620-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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