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General NPI Number Information
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NPI Number | 1164950721
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Entity Type | Organization
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Legal Business Name | SARAHROSE S. WEBSTER, M.D., P.A.
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1801 W 40TH AVE STE 4C
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City | PINE BLUFF
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State | AR
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Zip | 71603-6961
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Country | US
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Telephone | 870-534-6400
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Fax | 870-534-3441
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Provider Business Mailing Address
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Address Line | 1801 W 40TH AVE STE 4C
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City | PINE BLUFF
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State | AR
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Zip | 71603-6961
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Country | US
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Telephone | 870-534-6400
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Fax | 870-534-3441
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SCARLET BITZER
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Credential |
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Telephone | 870-534-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | E9384
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License Number State | AR
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