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General NPI Number Information
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NPI Number | 1326862962
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Entity Type | Organization
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Legal Business Name | LITTLE ROCK WALK IN CLINIC LLC
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 802 N UNIVERSITY AVE
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2920
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Country | US
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Telephone | 501-291-2322
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Fax | 888-388-5166
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Provider Business Mailing Address
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Address Line | 5700 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3328
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Country | US
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Telephone | 501-227-0184
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Fax | 501-227-0187
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Authorized Official
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Title or Position | MD
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Name | DR. AMIR M QURESHI
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Credential | MD
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Telephone | 501-940-6951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 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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