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General NPI Number Information
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NPI Number | 1285929463
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Entity Type | Individual
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Provider Name | CARL VINSETT MD
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 1001 SCHNEIDER DR
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City | MALVERN
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State | AR
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Zip | 72104-4811
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Country | US
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Telephone | 501-337-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 4631 LAKE NORRELL RD
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City | ALEXANDER
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State | AR
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Zip | 72002-9274
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Country | US
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Telephone | 501-247-6320
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | E-8745
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License Number State | AR
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