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General NPI Number Information
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NPI Number | 1558380725
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Entity Type | Organization
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Legal Business Name | SEBASTIAN COUNTY JUDGE COURTHOUSE
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 35 S 6TH ST
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City | FORT SMITH
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State | AR
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Zip | 72901-2421
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Country | US
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Telephone | 479-783-1095
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Fax | 479-784-1588
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Provider Business Mailing Address
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Address Line | PO BOX 1682
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City | FORT SMITH
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State | AR
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Zip | 72902-1682
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Country | US
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Telephone | 479-783-1095
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Fax | 479-784-1588
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Authorized Official
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Title or Position | COUNTY JUDGE
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Name | MR. DAVID O. HUDSON
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Credential |
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Telephone | 479-783-6139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 718
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License Number State | AR
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