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General NPI Number Information
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NPI Number | 1508953449
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Entity Type | Organization
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Legal Business Name | NEWTON COUNTY HEALTHCARE ASSOCIATION INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/03/2008
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Provider Practice Location Address
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Address Line | 610 EAST COURT
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City | JASPER
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State | AR
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Zip | 72641-0442
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Country | US
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Telephone | 870-446-2333
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Fax | 870-446-5133
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Provider Business Mailing Address
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Address Line | PO BOX 442 610 EAST COURT ST
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City | JASPER
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State | AR
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Zip | 72641-0442
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Country | US
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Telephone | 870-446-2333
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Fax | 870-446-5133
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LISA DUNCAN
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Credential |
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Telephone | 870-446-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 645
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License Number State | AR
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