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General NPI Number Information
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NPI Number | 1326125113
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Entity Type | Organization
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Legal Business Name | CHASE PLACEK FLOYD MEGGERS
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 3728 S PINNACLE HILLS PKWY
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City | ROGERS
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State | AR
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Zip | 72758-8897
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Country | US
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Telephone | 479-254-8508
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Fax | 479-282-1479
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Provider Business Mailing Address
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Address Line | PO BOX 583
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City | LOWELL
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State | AR
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Zip | 72745-0583
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Country | US
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Telephone | 888-991-1101
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Fax | 903-787-5854
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. JEREMY A. BUSH
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Credential | M.D.
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Telephone | 479-236-4956
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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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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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