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General NPI Number Information
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NPI Number | 1598751562
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST SLOT 547-10
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-5530
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Fax | 501-686-5055
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Provider Business Mailing Address
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Address Line | 4301 W MARKHAM ST SLOT 547-10
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-5530
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Fax | 501-686-5055
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Authorized Official
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Title or Position | ASSOC VC FOR CLINICAL FINANCE
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Name | AMANDA D GEORGE
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Credential |
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Telephone | 501-686-5670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AR04246
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License Number State | AR
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