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General NPI Number Information
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NPI Number | 1598378242
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Entity Type | Organization
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Legal Business Name | HARVEST ASSEMBLY INC.
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 9866 HIGHWAY 21 N
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City | BERRYVILLE
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State | AR
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Zip | 72616-9057
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Country | US
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Telephone | 870-749-2750
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | OAK GROVE
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State | AR
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Zip | 72660-0250
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARIAH F BAKER
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Credential |
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Telephone | 870-749-2750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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