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NPI 1467906495

NPI 1467906495 : ARKANSAS COMPLETE CARE : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1467906495
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARKANSAS COMPLETE CARE 
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Dates
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    Enumeration Date     |    08/08/2016
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    Last Update Date     |    07/09/2024
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Provider Practice Location Address
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    Address Line         |    5905 FOREST PL STE 200 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72207-5287
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    Country              |    US
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    Telephone            |    501-566-1011
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    Fax                  |    501-781-2234
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Provider Business Mailing Address
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    Address Line         |    2310 HOLLY RIDGE CV 
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    City                 |    BENTON
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    State                |    AR
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    Zip                  |    72019-9432
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    Country              |    US
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    Telephone            |    501-291-5759
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    Fax                  |    501-781-2234
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Authorized Official
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    Title or Position    |    COO
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    Name                 |     KRIS BELL E BELL-HICKS 
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    Credential           |    RT
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    Telephone            |    501-525-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0401X
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    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
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    License Number       |    
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    License Number State |    AR
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