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General NPI Number Information
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NPI Number | 1386601706
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Entity Type | Organization
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Legal Business Name | AREA AGENCY ON AGING OF WESTERN ARKANSAS, INC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 600 7TH ST
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City | MENA
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State | AR
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Zip | 71953-3205
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Country | US
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Telephone | 479-394-5458
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Fax | 855-515-7414
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Provider Business Mailing Address
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Address Line | PO BOX 1724
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City | FORT SMITH
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State | AR
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Zip | 72902-1724
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Country | US
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Telephone | 479-783-4500
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Fax | 855-515-7414
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Authorized Official
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Title or Position | CFO
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Name | DANA CALLAWAY
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Credential |
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Telephone | 479-424-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 0173
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License Number State | AR
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