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General NPI Number Information
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NPI Number | 1568471571
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Entity Type | Organization
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Legal Business Name | ARKANSAS RURAL KARE, INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | #4 HWY 71 NE
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City | MOUNTAINBURG
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State | AR
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Zip | 72946
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Country | US
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Telephone | 479-369-2091
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Fax | 479-369-4119
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Provider Business Mailing Address
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Address Line | 310 TOWSON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-3831
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Country | US
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Telephone | 479-494-0009
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Fax | 479-494-0005
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WAYNE KING
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Credential |
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Telephone | 479-494-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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