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General NPI Number Information
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NPI Number | 1376590331
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Entity Type | Organization
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Legal Business Name | BAPTIST MEMORIAL HOMECARE FORREST CITY
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1712 LINDAUER RD
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City | FORREST CITY
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State | AR
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Zip | 72335-2523
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Country | US
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Telephone | 870-261-0188
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 90
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City | FORREST CITY
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State | AR
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Zip | 72336-0090
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Country | US
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Telephone | 870-261-0188
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | GARY HUGHES
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Credential |
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Telephone | 870-261-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AR3875
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License Number State | AR
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