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General NPI Number Information
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NPI Number | 1477578326
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Entity Type | Organization
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Legal Business Name | STEPHEN A BROUGHTON, MD PA
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 1726 W 42ND AVE
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City | PINE BLUFF
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State | AR
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Zip | 71603-7008
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Country | US
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Telephone | 870-535-6800
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Fax | 870-535-6805
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Provider Business Mailing Address
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Address Line | 1726 W 42ND AVE
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City | PINE BLUFF
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State | AR
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Zip | 71603-7008
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Country | US
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Telephone | 870-535-6800
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Fax | 870-535-6805
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. STEPHEN A BROUGHTON
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Credential | M.D.
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Telephone | 870-535-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E0252
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License Number State | AR
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