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General NPI Number Information
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NPI Number | 1508963281
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Entity Type | Organization
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Legal Business Name | FUTURE VISIONS FOUNDATION INC
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Dates
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Enumeration Date | 09/17/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 6302 A HILLSIDE LANE
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City | HARRISON
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State | AR
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Zip | 72601
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Country | US
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Telephone | 870-741-9896
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Fax | 870-741-9687
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Provider Business Mailing Address
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Address Line | PO BOX 1670
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City | HARRISON
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State | AR
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Zip | 72602-1670
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Country | US
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Telephone | 870-741-9596
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Fax | 870-741-9687
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALICE R LAULE
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Credential | MD
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Telephone | 870-741-9596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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