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General NPI Number Information
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NPI Number | 1588775464
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Entity Type | Organization
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Legal Business Name | WREN & BARROW OB GYN PLLC PA
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/20/2010
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Provider Practice Location Address
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Address Line | 628 HOSPITAL DR STE 2A
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2937
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Country | US
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Telephone | 870-425-7300
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Fax | 870-425-4431
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Provider Business Mailing Address
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Address Line | 628 HOSPITAL DR STE 2A
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2937
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Country | US
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Telephone | 870-425-7300
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Fax | 870-425-4431
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. JENNIFER DIANE LANGSTON
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Credential |
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Telephone | 870-425-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | AR
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