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General NPI Number Information
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NPI Number | 1487882023
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Entity Type | Organization
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Legal Business Name | EAW INC
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Dates
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Enumeration Date | 06/22/2009
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 525 HENDRIX CV
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City | CONWAY
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State | AR
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Zip | 72034-7742
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Country | US
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Telephone | 501-450-6400
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Fax | 501-450-6440
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Provider Business Mailing Address
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Address Line | PO BOX 607
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City | CONWAY
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State | AR
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Zip | 72033-0607
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Country | US
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Telephone | 501-450-6400
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Fax | 501-450-6440
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC A WOODARD
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Credential | M. D.
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Telephone | 501-450-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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