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General NPI Number Information
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NPI Number | 1477757896
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Entity Type | Organization
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Legal Business Name | ROY L PUEN
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 295 SECTION LINE RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6433
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Country | US
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Telephone | 501-525-7800
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Fax | 501-525-6170
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Provider Business Mailing Address
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Address Line | 295 SECTION LINE RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6433
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Country | US
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Telephone | 501-525-7800
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Fax | 501-525-6170
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Authorized Official
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Title or Position | OWNER
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Name | ROY L PUEN
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Credential | MD
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Telephone | 501-525-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | E0602
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License Number State | AR
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