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General NPI Number Information
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NPI Number | 1386199057
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Entity Type | Organization
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Legal Business Name | BAXTER COUNTY REGIONAL HOSPITAL, INC
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/30/2016
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Provider Practice Location Address
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Address Line | 230 HIGHWAY 5 N SUITE 10
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3027
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Country | US
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Telephone | 870-424-0517
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Fax | 870-424-0514
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Provider Business Mailing Address
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Address Line | 230 HIGHWAY 5 N SUITE 10
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3027
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Country | US
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Telephone | 870-424-0517
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Fax | 870-424-0514
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Authorized Official
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Title or Position | VP OPERATIONS
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Name | JAMES RUDY DARLING
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Credential | RPH, MBA
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Telephone | 870-508-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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