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General NPI Number Information
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NPI Number | 1174940274
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Entity Type | Organization
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Legal Business Name | ARKANSAS PAIN CENTERS, LTD
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 308 SMOKEY LN
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City | N LITTLE ROCK
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State | AR
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Zip | 72117-2508
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Country | US
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Telephone | 501-771-4370
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Fax | 501-327-9722
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Provider Business Mailing Address
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Address Line | 308 SMOKEY LN
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City | N LITTLE ROCK
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State | AR
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Zip | 72117-2508
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Country | US
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Telephone | 501-771-4370
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Fax | 501-327-9722
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Authorized Official
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Title or Position | OWNER
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Name | DR. BUTCHAIAH GARLAPATI
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Credential | M.D
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Telephone | 501-771-4370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 04D1095441
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License Number State | AR
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