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General NPI Number Information
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NPI Number | 1548387103
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Entity Type | Organization
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Legal Business Name | ARKANSAS DEPARTMENT OF HEALTH
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 5800 W 10TH ST SUITE 401
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1752
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Country | US
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Telephone | 501-280-4951
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Fax | 501-280-4999
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Provider Business Mailing Address
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Address Line | 4815 W MARKHAM ST SLOT 40
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3866
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Country | US
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Telephone | 501-661-2859
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Fax | 501-661-2691
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Authorized Official
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Title or Position | FISCAL SUPPORT SUPERVISOR
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Name | TERRI S WRIGHT
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Credential | BBA
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Telephone | 501-661-2859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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