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General NPI Number Information
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NPI Number | 1578913307
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Entity Type | Organization
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Legal Business Name | HEARN HEALTH PA
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Dates
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Enumeration Date | 06/13/2016
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 506 W RIDGE DR
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City | CONWAY
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State | AR
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Zip | 72034-5523
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Country | US
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Telephone | 501-336-4035
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Fax | 501-336-4035
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Provider Business Mailing Address
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Address Line | 506 W RIDGE DR
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City | CONWAY
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State | AR
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Zip | 72034-5523
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Country | US
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Telephone | 501-336-4035
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Fax | 501-336-4035
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN ANDREW HEARN
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Credential | APRN, DPT
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Telephone | 501-336-4035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A004568
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License Number State | AR
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