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General NPI Number Information
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NPI Number | 1376596569
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Entity Type | Organization
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Legal Business Name | WOMENS CENTER OF NORTHWEST ARKANSAS LLC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4301 GREATHOUSE RD.
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City | JOHNSON
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State | AR
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Zip | 72741
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Country | US
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Telephone | 479-684-3000
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Fax | 479-684-3075
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Provider Business Mailing Address
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Address Line | PO BOX 841278
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City | DALLAS
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State | TX
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Zip | 75284-1278
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Country | US
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Telephone | 479-684-3000
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Fax | 479-684-3075
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | REBECCA HURLEY
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Credential |
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Telephone | 214-473-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 3904
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License Number State | AR
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