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NPI 1235816836

NPI 1235816836 : UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1235816836
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 
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Dates
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    Enumeration Date     |    07/05/2023
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    Last Update Date     |    11/17/2025
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Provider Practice Location Address
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    Address Line         |    6119 MIDTOWN AVE 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72205-5313
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    Country              |    US
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    Telephone            |    501-686-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 251420 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72225-1420
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    Country              |    US
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    Telephone            |    501-686-8000
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE CHANCELLOR
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    Name                 |     AMANDA  GEORGE 
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    Credential           |    
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    Telephone            |    501-686-5670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LX0001X
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    Taxonomy Name        |    Obstetrics & Gynecology Nurse Practitioner
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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