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General NPI Number Information
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NPI Number | 1326135849
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Entity Type | Organization
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Legal Business Name | ARKANSAS OB GYN ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9501 LILE DR SUITE 777
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6225
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Country | US
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Telephone | 501-801-7900
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Fax | 501-801-7905
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Provider Business Mailing Address
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Address Line | 9501 LILE DR SUITE 777
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6225
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Country | US
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Telephone | 501-801-7900
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Fax | 501-801-7905
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. RANDALL BRIAN GUARD
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Credential |
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Telephone | 501-801-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C8487
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License Number State | AR
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