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General NPI Number Information
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NPI Number | 1174285373
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Entity Type | Organization
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Legal Business Name | NORTHWEST ARKANSAS HBP SERVICES LLC
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1580 E CENTERTON BLVD
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City | BENTONVILLE
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State | AR
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Zip | 72712-4836
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Country | US
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Telephone | 479-553-2150
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Fax | 479-795-1851
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-3334
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Fax | 615-465-3002
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Authorized Official
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Title or Position | DIRECTOR, PROVIDER ENROLLMENT
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Name | KRISTINA MUSIC
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Credential |
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Telephone | 877-892-9815
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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 | 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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