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General NPI Number Information
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NPI Number | 1497718134
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Entity Type | Organization
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Legal Business Name | ARKANSAS FAMILY CARE NETWORK
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 5125 NORTHSHORE DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-5315
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Country | US
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Telephone | 501-224-1690
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Fax | 501-224-1927
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Provider Business Mailing Address
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Address Line | PO BOX 15056
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City | LITTLE ROCK
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State | AR
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Zip | 72231-5056
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Country | US
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Telephone | 501-224-1690
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Fax | 501-224-1927
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JEFF ERWIN
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Credential |
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Telephone | 501-224-1690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #10
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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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