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General NPI Number Information
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NPI Number | 1396854642
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Entity Type | Organization
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Legal Business Name | EDWIN N. BARRON JR. MD PA
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 7 OFFICE PARK DRIVE SUITE 100
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3862
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Country | US
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Telephone | 501-225-9222
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Fax | 501-225-8564
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Provider Business Mailing Address
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Address Line | 7 OFFICE PARK DRIVE SUITE 100
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3862
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Country | US
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Telephone | 501-225-9222
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Fax | 501-225-8564
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. ELWYN JOE PERSER
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Credential | M.D.
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Telephone | 501-225-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MC1513
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License Number State | AR
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