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General NPI Number Information
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NPI Number | 1346016185
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY GASTROENTEROLOGY, PLLC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 9001 JENNY LIND RD STE 2
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City | FORT SMITH
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State | AR
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Zip | 72908-8629
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Country | US
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Telephone | 479-444-3566
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Fax | 479-316-4464
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Provider Business Mailing Address
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Address Line | 9001 JENNY LIND RD STE 2
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City | FORT SMITH
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State | AR
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Zip | 72908-8629
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Country | US
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Telephone | 479-444-3566
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Fax | 479-316-4464
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Authorized Official
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Title or Position | PHYSICIAN
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Name | HRAIR PIERRE SIMONIAN
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Credential | MD
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Telephone | 479-651-1714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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