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General NPI Number Information
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NPI Number | 1437225398
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Entity Type | Organization
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Legal Business Name | NEWCOMBS HEALTHMART
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 100 E HALE
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City | OSCEOLA
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State | AR
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Zip | 72370
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Country | US
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Telephone | 870-563-2618
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Fax | 870-563-2036
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Provider Business Mailing Address
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Address Line | 100 E HALE
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City | OSCEOLA
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State | AR
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Zip | 72370
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Country | US
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Telephone | 870-563-2618
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Fax | 870-563-2036
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. STEPHANIE S RAPERT
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Credential | PHARMD
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Telephone | 870-563-5618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AR05375
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License Number State | AR
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