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General NPI Number Information
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NPI Number | 1376845594
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Entity Type | Organization
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Legal Business Name | HEALTH RESOURSES OF ARKANSAS
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 1355 E MAIN ST
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City | BATESVILLE
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State | AR
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Zip | 72501-3159
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Country | US
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Telephone | 870-793-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 1355 E MAIN ST
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City | BATESVILLE
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State | AR
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Zip | 72501-3159
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Country | US
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Telephone | 870-793-8900
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Fax |
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Authorized Official
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Title or Position | CCS
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Name | MRS. JACKIE A SMITH
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Credential |
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Telephone | 870-307-4825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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