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General NPI Number Information
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NPI Number | 1528275286
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Entity Type | Organization
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Legal Business Name | PIONEER HEALTH SERVICES, PA
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 147 SECTION LINE RD STE N
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6188
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Country | US
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Telephone | 501-701-4270
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Fax | 501-330-8632
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Provider Business Mailing Address
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Address Line | PO BOX 2365
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City | HOT SPRINGS
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State | AR
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Zip | 71914-2365
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Country | US
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Telephone | 501-701-4270
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER W GURESKY
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Credential | M.D.
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Telephone | 501-701-4270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | C7700
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License Number State | AR
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