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General NPI Number Information
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NPI Number | 1417191263
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Entity Type | Organization
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Legal Business Name | VETERANS HEALTH CARE SYSTEM OF THE OZARKS
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 1100 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 180-069-1838
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 180-069-1838
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Fax |
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Authorized Official
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Title or Position | HEALTH SYSTEMS SPECIALIST
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Name | MS. CINDY FARMER
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Credential |
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Telephone | 479-587-5852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | OTR696
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License Number State | AR
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