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General NPI Number Information
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NPI Number | 1346582632
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Entity Type | Organization
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Legal Business Name | CONWAY GROUP, P.L.L.C
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 1600 DAVE WARD DR. STE. E
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City | CONWAY
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State | AR
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Zip | 72034
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Country | US
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Telephone | 501-358-3512
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Fax | 501-358-3514
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Provider Business Mailing Address
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Address Line | 1600 DAVE WARD DR. STE. E
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City | CONWAY
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State | AR
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Zip | 72034
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Country | US
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Telephone | 501-358-3512
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Fax | 501-358-3514
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CLAUDIA A. HAZAGA
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Credential |
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Telephone | 888-708-8886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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