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General NPI Number Information
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NPI Number | 1164284956
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Entity Type | Organization
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Legal Business Name | UNITY HEALTH - JACKSONVILLE
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Dates
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Enumeration Date | 01/26/2024
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Last Update Date | 01/26/2024
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Provider Practice Location Address
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Address Line | 1400 BRADEN ST
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City | JACKSONVILLE
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State | AR
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Zip | 72076-3721
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Country | US
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Telephone | 501-453-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 E RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4810
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Country | US
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Telephone | 501-380-3172
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Fax |
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Authorized Official
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Title or Position | MEDICAL STAFF COORDINATOR
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Name | SHELBY TURNER
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Credential |
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Telephone | 501-380-3172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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