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NPI 1326034562

NPI 1326034562 : JOHN STEVEN MATHEWS M.D. : HOT SPRINGS, AR

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General NPI Number Information
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    NPI Number           |    1326034562
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN STEVEN MATHEWS M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/22/2005
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    Last Update Date     |    02/05/2014
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Provider Practice Location Address
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    Address Line         |    151 MCGOWAN CT 
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    City                 |    HOT SPRINGS
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    State                |    AR
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    Zip                  |    71913-6451
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    Country              |    US
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    Telephone            |    501-623-6277
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    Fax                  |    501-318-0430
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Provider Business Mailing Address
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    Address Line         |    151 MCGOWAN CT 
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    City                 |    HOT SPRINGS
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    State                |    AR
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    Zip                  |    71913-6451
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    Country              |    US
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    Telephone            |    501-623-6277
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    Fax                  |    501-318-0430
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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        |    207RG0100X
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    Taxonomy Name        |    Gastroenterology Physician
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    License Number       |    C7720
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    License Number State |    AR
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