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General NPI Number Information
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NPI Number | 1609860956
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Entity Type | Individual
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Provider Name | JUDY L MCDONALD M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 3604 CENTRAL AVE SUITE B
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6403
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Country | US
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Telephone | 501-318-2929
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Fax | 501-318-2828
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Provider Business Mailing Address
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Address Line | PO BOX 21250
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City | HOT SPRINGS
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State | AR
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Zip | 71903-1250
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Country | US
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Telephone | 501-318-2929
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Fax | 501-318-2828
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | R3847
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License Number State | AR
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