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General NPI Number Information
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NPI Number | 1548357858
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Entity Type | Organization
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Legal Business Name | REBSAMEN MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 1400 BRADEN ST
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City | JACKSONVILLE
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State | AR
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Zip | 72076-3721
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Country | US
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Telephone | 501-985-7000
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Fax | 501-985-7407
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Provider Business Mailing Address
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Address Line | 1400 BRADEN ST
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City | JACKSONVILLE
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State | AR
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Zip | 72076-3721
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Country | US
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Telephone | 501-985-7000
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Fax | 501-985-7407
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Authorized Official
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Title or Position | INTERIM CEO
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Name | SCOTT LANDRUM
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Credential |
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Telephone | 501-985-7035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | AR3795
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License Number State | AR
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