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General NPI Number Information
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NPI Number | 1326167966
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Entity Type | Organization
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Legal Business Name | ARKANSAS DEPARTMENT OF HUMAN SERVICES
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 700 MAIN ST SUITE S-380
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City | LITTLE ROCK
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State | AR
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Zip | 72201-4608
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Country | US
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Telephone | 501-682-1464
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Fax | 501-682-8247
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Provider Business Mailing Address
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Address Line | P O BOX 1437 SLOT N505 108 E 7TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72203-1437
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Country | US
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Telephone | 501-682-8663
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Fax | 501-683-5608
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Authorized Official
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Title or Position | PROGRAM ADMINISTRATOR
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Name | MS. NANCY HOLDER
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Credential | R.N.
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Telephone | 501-682-1464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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