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General NPI Number Information
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NPI Number | 1184911901
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 06/30/2011
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 415 RODGERS DR STE A
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City | SEARCY
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State | AR
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Zip | 72143-7434
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Country | US
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Telephone | 501-278-3297
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Fax |
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Provider Business Mailing Address
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Address Line | 415 RODGERS DR STE A
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City | SEARCY
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State | AR
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Zip | 72143-7434
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Country | US
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Telephone | 501-278-3297
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Fax |
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Authorized Official
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Title or Position | VP- TREASURER
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Name | STUART RANDALL HILL
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Credential |
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Telephone | 501-380-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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