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General NPI Number Information
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NPI Number | 1356981641
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Entity Type | Organization
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Legal Business Name | NORTH ARKANSAS REGENERATIVE MEDICINE LTD.
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 07/27/2021
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Provider Practice Location Address
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Address Line | 2988 W HUNTSVILLE AVE STE C
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City | SPRINGDALE
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State | AR
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Zip | 72762-7739
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Country | US
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Telephone | 479-751-0190
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Fax | 479-751-6011
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Provider Business Mailing Address
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Address Line | 2988 W HUNTSVILLE AVE STE C
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City | SPRINGDALE
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State | AR
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Zip | 72762-7739
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Country | US
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Telephone | 479-751-0190
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Fax | 479-751-6011
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LEAH M CARRINGTON
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Credential | NP
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Telephone | 479-757-0190
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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