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General NPI Number Information
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NPI Number | 1497278204
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Entity Type | Organization
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Legal Business Name | SAINT FRANCIS-ARKANSAS PHYSICIAN NETWORK, LLC
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Dates
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Enumeration Date | 07/24/2017
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 300 S RHODES ST
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-4215
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Country | US
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Telephone | 870-400-0433
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Fax | 870-702-7069
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Provider Business Mailing Address
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Address Line | PO BOX 22355
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City | BELFAST
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State | ME
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Zip | 04915-4475
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Country | US
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Telephone | 855-270-2514
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Fax | 708-342-6655
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Authorized Official
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Title or Position | VP, CFO TPR TENET
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Name | BRIAN RASMUS
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Credential |
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Telephone | 469-893-2532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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