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General NPI Number Information
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NPI Number | 1184625105
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Entity Type | Individual
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Provider Name | ROBERT THOMAS VANHOOK M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 3900 DAVE WARD DR STE 1900 PMB # 181
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City | CONWAY
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State | AR
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Zip | 72034-5617
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Country | US
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Telephone | 501-764-4322
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Fax | 501-764-4312
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Provider Business Mailing Address
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Address Line | 3900 DAVE WARD DR STE 1900 PMB # 181
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City | CONWAY
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State | AR
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Zip | 72034-5617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | E-5970
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License Number State | AR
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