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General NPI Number Information
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NPI Number | 1457352882
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Entity Type | Organization
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Legal Business Name | BEC SURGERY CENTER
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 1 MERCY LN STE 601
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6442
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Country | US
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Telephone | 501-321-2229
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Fax | 501-321-4057
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Provider Business Mailing Address
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Address Line | PO BOX 21850
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City | HOT SPRINGS
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State | AR
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Zip | 71903-1850
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Country | US
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Telephone | 501-627-1800
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Fax | 501-627-1899
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | BUNEVA WOOD
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Credential |
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Telephone | 501-321-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | MC1453
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License Number State | AR
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