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NPI 1518748367

NPI 1518748367 : ARKANSAS VEIN CARE CLINICS PLLC : SHERWOOD, AR

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General NPI Number Information
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    NPI Number           |    1518748367
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARKANSAS VEIN CARE CLINICS PLLC 
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Dates
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    Enumeration Date     |    10/09/2023
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    Last Update Date     |    06/25/2025
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Provider Practice Location Address
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    Address Line         |    100 SHADOW OAKS DR 
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    City                 |    SHERWOOD
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    State                |    AR
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    Zip                  |    72120-6046
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    Country              |    US
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    Telephone            |    571-206-5444
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    Fax                  |    571-206-5444
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Provider Business Mailing Address
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    Address Line         |    100 SHADOW OAKS DR 
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    City                 |    SHERWOOD
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    State                |    AR
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    Zip                  |    72120-6046
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    Country              |    US
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    Telephone            |    571-206-5444
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    Fax                  |    571-206-5444
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. ADNAN  SADIQ 
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    Credential           |    
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    Telephone            |    571-206-5444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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