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General NPI Number Information
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NPI Number | 1548221377
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Entity Type | Organization
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Legal Business Name | HEBER SPRINGS CLINIC
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 401 W SEARCY ST
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3842
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Country | US
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Telephone | 501-362-2414
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Fax | 501-362-7068
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Provider Business Mailing Address
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Address Line | 401 W SEARCY ST P. O. BOX 1570
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-3842
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Country | US
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Telephone | 501-362-2414
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Fax | 501-362-7068
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAN C SHARP
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Credential | M.D.
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Telephone | 501-362-2414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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