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General NPI Number Information
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NPI Number | 1194591024
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Entity Type | Organization
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Legal Business Name | OUACHITA CHILDRENS CENTER INC
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 12/01/2023
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Provider Practice Location Address
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Address Line | 339 CHARTEROAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-6100
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Country | US
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Telephone | 501-623-5591
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Fax | 501-623-4226
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Provider Business Mailing Address
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Address Line | 339 CHARTEROAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-6100
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Country | US
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Telephone | 501-623-5591
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Fax | 501-623-4226
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ASHLEY THOMPSON
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Credential | ED
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Telephone | 501-623-5591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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