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General NPI Number Information
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NPI Number | 1265824643
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 1205 MCLAIN ST
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City | NEWPORT
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State | AR
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Zip | 72112-3533
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Country | US
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Telephone | 870-523-8911
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 MCLAIN ST
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City | NEWPORT
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State | AR
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Zip | 72112-3533
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Country | US
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Telephone | 870-523-8911
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Fax |
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Authorized Official
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Title or Position | VP TREASURER
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Name | STUART HILL
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Credential |
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Telephone | 501-380-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | AR4389
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License Number State | AR
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