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General NPI Number Information
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NPI Number | 1538538905
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Entity Type | Organization
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Legal Business Name | PHYSICIANS DAY SURGERY CENTER
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Dates
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Enumeration Date | 09/16/2015
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 2705 S ORLANDO ST
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City | PINE BLUFF
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State | AR
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Zip | 71603-4718
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Country | US
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Telephone | 870-536-4100
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Fax | 870-536-9020
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Provider Business Mailing Address
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Address Line | 10700 N RODNEY PARHAM RD STE C1-A
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City | LITTLE ROCK
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State | AR
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Zip | 72212-4191
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Country | US
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Telephone | 501-293-3626
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Fax | 870-536-9020
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Authorized Official
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Title or Position | REV CYCLE
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Name | HALLIE MUILENBURG
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Credential |
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Telephone | 501-293-3626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State | AR
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