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General NPI Number Information
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NPI Number | 1619060589
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Entity Type | Individual
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Provider Name | KRISHNAPPA ARTHUR PRASAD MD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/14/2024
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Provider Practice Location Address
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Address Line | 11219 FINANCIAL CENTRE PKWY STE 240
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3859
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Country | US
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Telephone | 501-725-0830
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Fax | 501-725-0825
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Provider Business Mailing Address
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Address Line | 11219 FINANCIAL CENTRE PKWY STE 240
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3859
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Country | US
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Telephone | 501-725-0830
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Fax | 501-725-0825
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 13076
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | E-7025
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | M6833
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 2008015437
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | ME107678
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License Number State | FL
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