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General NPI Number Information
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NPI Number | 1457316952
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Entity Type | Individual
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Provider Name | MICHAEL J MUIRHEAD MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 3130 E RACE AVE SUITE 200
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City | SEARCY
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State | AR
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Zip | 72143-4867
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Country | US
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Telephone | 501-380-4870
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Fax | 501-380-4883
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Provider Business Mailing Address
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Address Line | 11001 EXECUTIVE CENTER DR SUITE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4316
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Country | US
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Telephone | 501-812-7587
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Fax | 501-812-7851
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | N8174
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License Number State | AR
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