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General NPI Number Information
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NPI Number | 1225317159
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Entity Type | Organization
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Legal Business Name | HOUSE CALLS, ON CALL
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 02/10/2013
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Provider Practice Location Address
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Address Line | 2920 ADAM ST
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City | CONWAY
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State | AR
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Zip | 72034-5502
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Country | US
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Telephone | 501-358-9942
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Fax | 501-358-4901
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Provider Business Mailing Address
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Address Line | 2920 ADAM ST
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City | CONWAY
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State | AR
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Zip | 72034-5502
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Country | US
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Telephone | 501-358-9942
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Fax | 501-358-4901
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Authorized Official
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Title or Position | OWNER
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Name | MR. WESLEY FRANK WARD
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Credential | APN
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Telephone | 501-505-8349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | AO2979
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License Number State | AR
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