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General NPI Number Information
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NPI Number | 1205731411
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Entity Type | Organization
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Legal Business Name | 360CARE PODIATRY OF ARKANSAS PLLC
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Dates
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Enumeration Date | 10/09/2026
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 300 S SPRING ST STE 900
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City | LITTLE ROCK
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State | AR
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Zip | 72201-2425
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Country | US
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Telephone | 248-528-2116
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Fax | 502-996-8282
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Provider Business Mailing Address
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Address Line | 4350 BROWNSBORO RD STE 210
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City | LOUISVILLE
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State | KY
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Zip | 40207-1681
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Country | US
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Telephone | 248-528-2116
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Fax | 502-996-8282
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES GINN
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Credential |
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Telephone | 479-531-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State | NULL
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