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General NPI Number Information
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NPI Number | 1326486523
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Entity Type | Organization
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Legal Business Name | BAXTER COUNTY REGIONAL HOSPITAL, INC.
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 806 E MAIN ST.
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City | FLIPPIN
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State | AR
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Zip | 72634-0309
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Country | US
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Telephone | 870-453-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 806 E MAIN
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City | FLIPPIN
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State | AR
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Zip | 72634-0309
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Country | US
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Telephone | 870-453-2266
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. IVAN HOLLEMAN
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Credential |
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Telephone | 870-508-1003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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