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General NPI Number Information
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NPI Number | 1164832184
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTH HOSPITALS
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 221 NE 2ND ST
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City | ENGLAND
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State | AR
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Zip | 72046-1803
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Country | US
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Telephone | 501-842-3819
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1901
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City | STUTTGART
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State | AR
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Zip | 72160-1901
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Country | US
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Telephone | 870-673-7211
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TROY WELLS
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Credential |
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Telephone | 505-202-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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