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General NPI Number Information
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NPI Number | 1548068364
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Entity Type | Organization
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Legal Business Name | ARKANSAS HEALTH PLLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 201 COMMERCE DR
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City | MAUMELLE
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State | AR
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Zip | 72113-6708
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Country | US
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Telephone | 870-472-8465
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Fax | 870-472-8219
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Provider Business Mailing Address
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Address Line | 305 ROCK STREET SUITE 1409
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City | LITTLE ROCK
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State | AR
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Zip | 72202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DOCTOR
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Name | DR. CHANDRAKANTH BODDU
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Credential | MD
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Telephone | 929-229-8734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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