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General NPI Number Information
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NPI Number | 1588233555
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Entity Type | Organization
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Legal Business Name | ARKANSAS TREATMENT ASSOCIATES
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Dates
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Enumeration Date | 06/23/2021
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Last Update Date | 11/04/2021
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Provider Practice Location Address
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Address Line | 227 N GREENWOOD AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-3451
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Country | US
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Telephone | 479-763-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 7136 S YALE AVE STE 225
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City | TULSA
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State | OK
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Zip | 74136-6381
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Country | US
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Telephone | 140-592-2775
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. RODNEY B CARGILL
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Credential | LADC
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Telephone | 405-922-7750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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