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General NPI Number Information
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NPI Number | 1558140749
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Entity Type | Organization
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Legal Business Name | PEA RIDGE URGENT CARE CLINIC
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2103 SLACK ST
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City | PEA RIDGE
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State | AR
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Zip | 72751-4005
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Country | US
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Telephone | 479-765-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 660 WILLIS LN
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City | PEA RIDGE
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State | AR
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Zip | 72751-3748
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Country | US
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Telephone | 479-765-1980
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN SCHUMACHER
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Credential | MD
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Telephone | 520-850-2886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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