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General NPI Number Information
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NPI Number | 1255257416
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Entity Type | Organization
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Legal Business Name | OK-ARK HEALTH CARE CLINIC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 205 E RAY FINE BLVD STE 9
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City | ROLAND
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State | OK
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Zip | 74954-5380
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Country | US
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Telephone | 479-522-2201
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 S 22ND ST
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City | FORT SMITH
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State | AR
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Zip | 72901-6512
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Country | US
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Telephone | 479-522-2201
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | BERNARD MICHAEL TOUGAS JR.
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Credential | PA-C
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Telephone | 479-522-2201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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