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General NPI Number Information
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NPI Number | 1316955891
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Entity Type | Organization
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Legal Business Name | STUTTGART REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1703 N BUERKLE ST
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City | STUTTGART
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State | AR
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Zip | 72160-3153
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Country | US
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Telephone | 870-674-6402
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Fax | 870-672-6888
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Provider Business Mailing Address
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Address Line | PO BOX 1905
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City | STUTTGART
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State | AR
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Zip | 72160-1905
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Country | US
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Telephone | 870-674-6402
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Fax | 870-672-6888
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Authorized Official
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Title or Position | CEO OF STUTTGART REGIONAL MEDICAL C
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Name | MR. JOHN NEAL
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Credential |
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Telephone | 870-674-6402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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