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General NPI Number Information
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NPI Number | 1588858849
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Entity Type | Organization
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Legal Business Name | SOUTHWEST ARKANSAS FOOT AND ANKLE CENTER
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 1132 MALVERN AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71901
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Country | US
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Telephone | 501-762-8485
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Fax | 501-762-8085
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Provider Business Mailing Address
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Address Line | 1132 MALVERN AVE
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City | HOT SPRINGS
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State | AR
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Zip | 71901
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Country | US
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Telephone | 870-725-6502
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. CARLOTTA WELLS
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Credential | DPM
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Telephone | 870-725-6502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 241
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License Number State | AR
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