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NPI 1457481053

NPI 1457481053 : CITY OF WEST MEMPHIS : WEST MEMPHIS, AR

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General NPI Number Information
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    NPI Number           |    1457481053
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF WEST MEMPHIS 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    200 N 7TH ST 
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    City                 |    WEST MEMPHIS
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    State                |    AR
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    Zip                  |    72301-3227
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    Country              |    US
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    Telephone            |    870-732-7570
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    Fax                  |    870-732-7574
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Provider Business Mailing Address
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    Address Line         |    200 N 7TH ST 
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    City                 |    WEST MEMPHIS
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    State                |    AR
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    Zip                  |    72301-3227
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    Country              |    US
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    Telephone            |    870-732-7570
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    Fax                  |    870-732-7574
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Authorized Official
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    Title or Position    |    SECRETARY
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    Name                 |    MS. DANA M VOYLES 
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    Credential           |    
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    Telephone            |    870-732-7570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    691
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    License Number State |    AR
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