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General NPI Number Information
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NPI Number | 1568466845
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR ASSOCIATES OF NORTHCENTRAL ARKANSAS, P.A.
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 07/11/2011
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Provider Practice Location Address
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Address Line | 555 W 6TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3409
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Country | US
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Telephone | 870-425-8288
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Fax | 870-425-8299
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Provider Business Mailing Address
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Address Line | 555 W 6TH ST
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3409
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Country | US
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Telephone | 870-425-8288
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Fax | 870-425-8299
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PAMELA M. HOYT
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Credential |
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Telephone | 870-425-8288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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