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General NPI Number Information
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NPI Number | 1578273199
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Entity Type | Organization
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Legal Business Name | SEARK CHILDREN'S CLINIC, PLLC
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Dates
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Enumeration Date | 12/05/2022
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 702 H L ROSS DR
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City | MONTICELLO
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State | AR
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Zip | 71655-5705
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Country | US
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Telephone | 870-276-6966
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Fax | 870-201-9769
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Provider Business Mailing Address
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Address Line | 702 H L ROSS DR
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City | MONTICELLO
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State | AR
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Zip | 71655-5705
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Country | US
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Telephone | 870-276-6966
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Fax | 870-276-6967
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES R ATKINS JR.
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Credential | MD
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Telephone | 870-276-6966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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