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General NPI Number Information
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NPI Number | 1144876418
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Entity Type | Organization
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Legal Business Name | ARKMED HEALTHCARE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 1801 CENTRAL AVE STE A
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City | HOT SPRINGS
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State | AR
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Zip | 71901-6800
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Country | US
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Telephone | 501-623-5598
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Fax | 501-623-5516
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Provider Business Mailing Address
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Address Line | PO BOX 3751
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City | LITTLE ROCK
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State | AR
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Zip | 72203-3751
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BROCK HARRISON WRINKLES
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Credential | PA-C
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Telephone | 501-599-8400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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