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General NPI Number Information
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NPI Number | 1356987028
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Entity Type | Organization
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Legal Business Name | CENTRAL ARKANSAS OBGYN PLLC
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Dates
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Enumeration Date | 11/18/2019
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Last Update Date | 11/18/2019
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Provider Practice Location Address
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Address Line | 1014 HARKRIDER ST STE B
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City | CONWAY
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State | AR
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Zip | 72032-4471
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Country | US
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Telephone | 270-832-3528
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1798
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City | CONWAY
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State | AR
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Zip | 72033-1798
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Country | US
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Telephone | 270-832-3528
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CURTIS JAMES BOYD III
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Credential | DO
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Telephone | 270-832-3528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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