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General NPI Number Information
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NPI Number | 1568815835
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Entity Type | Organization
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Legal Business Name | HOT SPRINGS PHYSICAL MEDICINE & REHABILITATION CLINIC PLLC
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 1635 HIGDON FERRY RD STE A
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6904
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Country | US
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Telephone | 501-525-4785
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Fax | 501-525-4794
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Provider Business Mailing Address
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Address Line | 1635 HIGDON FERRY RD STE A
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6904
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Country | US
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Telephone | 501-525-4785
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Fax | 501-525-4794
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROSS A HARDY
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Credential | MD
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Telephone | 501-525-4785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | C-8261
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License Number State | AR
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