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General NPI Number Information
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NPI Number | 1598191850
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Entity Type | Organization
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Legal Business Name | RACHEL C. KING MD PA
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Dates
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Enumeration Date | 09/18/2013
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 180 HWY. 71 SOUTH
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City | ASHDOWN
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State | AR
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Zip | 71822-8650
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Country | US
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Telephone | 870-898-5464
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 397
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City | ASHDOWN
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State | AR
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Zip | 71822-0397
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Country | US
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Telephone | 870-898-5464
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Fax | 870-898-4606
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Authorized Official
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Title or Position | PRESIDENT
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Name | RACHEL C. KING
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Credential | M.D.
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Telephone | 870-898-5464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E-6014
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E-6014
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License Number State | AR
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