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General NPI Number Information
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NPI Number | 1275110181
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Entity Type | Organization
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Legal Business Name | HOT SPRINGS INTERNAL MEDICINE CLINIC PLLC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 301 EXCHANGE STREET
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City | HOT SPRINGS
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State | AR
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Zip | 71901
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Country | US
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Telephone | 501-765-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 130 LOTUS PL
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City | HOT SPRINGS
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State | AR
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Zip | 71901-9220
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | CHRISTINE LAI
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Credential | MD
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Telephone | 501-765-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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