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General NPI Number Information
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NPI Number | 1497291520
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1915 W BEEBE CAPPS EXPY
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City | SEARCY
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State | AR
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Zip | 72143-5012
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Country | US
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Telephone | 501-268-8175
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Fax | 501-268-8337
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Provider Business Mailing Address
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Address Line | 1915 W BEEBE CAPPS EXPY STE 100
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City | SEARCY
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State | AR
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Zip | 72143-5012
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Country | US
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Telephone | 501-268-8175
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Fax | 501-268-8337
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Authorized Official
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Title or Position | CFO/VP TREASURER
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Name | LAURA GILLENWATER
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Credential | CPA
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Telephone | 501-380-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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