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General NPI Number Information
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NPI Number | 1386658029
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER - NORTH HOME CARE
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3109 E MOORE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4825
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Country | US
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Telephone | 501-380-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 3214 E RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4810
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Country | US
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Telephone | 501-268-6121
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Fax |
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Authorized Official
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Title or Position | ASST. VP/CONTROLLER
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Name | MS. KATHY JONES
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Credential |
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Telephone | 501-380-4655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AR3297
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License Number State | AR
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