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General NPI Number Information
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NPI Number | 1588212831
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Entity Type | Organization
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Legal Business Name | DARDANELLE HOSPITAL YELL COUNTY
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 03/05/2020
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Provider Practice Location Address
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Address Line | 215 N 4TH ST
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City | DARDANELLE
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State | AR
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Zip | 72834-3713
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Country | US
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Telephone | 479-229-6192
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Fax | 479-229-6182
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Provider Business Mailing Address
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Address Line | 200 N 3RD ST
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City | DARDANELLE
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State | AR
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Zip | 72834-3802
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Country | US
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Telephone | 479-229-6192
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Fax | 479-229-6182
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Authorized Official
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Title or Position | BUSINESS OFFICE ASSOCIATE MANAGER
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Name | STEPHANIE COTHRAN
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Credential |
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Telephone | 501-745-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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