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NPI 1609894948

NPI 1609894948 : JOE D HESTER MD : MAGNOLIA, AR

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General NPI Number Information
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    NPI Number           |    1609894948
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    Entity Type          |    Individual 
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    Provider Name        |    JOE D HESTER MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/17/2006
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    Last Update Date     |    07/10/2008
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Provider Practice Location Address
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    Address Line         |    1700 PITTMAN STREET 
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    City                 |    MAGNOLIA
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    State                |    AR
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    Zip                  |    71753
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    Country              |    US
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    Telephone            |    870-234-3937
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    Fax                  |    870-234-1727
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Provider Business Mailing Address
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    Address Line         |    2713 CHAFFIN LN 
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    City                 |    MAGNOLIA
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    State                |    AR
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    Zip                  |    71753-4329
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    Country              |    US
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    Telephone            |    870-836-3636
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    Fax                  |    870-836-6136
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    C5403
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    License Number State |    AR
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