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General NPI Number Information
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NPI Number | 1386015097
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 504 W MAIN ST STE A
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City | BRADFORD
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State | AR
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Zip | 72020-9151
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Country | US
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Telephone | 501-344-8800
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Fax | 501-344-8805
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Provider Business Mailing Address
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Address Line | 504 W MAIN ST STE A
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City | BRADFORD
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State | AR
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Zip | 72020-9151
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Country | US
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Telephone | 501-344-8800
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Fax | 501-344-8805
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Authorized Official
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Title or Position | VP TREASURER
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Name | MR. STUART R HILL
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Credential |
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Telephone | 501-380-1004
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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 | AR4389
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License Number State | AR
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