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General NPI Number Information
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NPI Number | 1639375306
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Entity Type | Organization
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Legal Business Name | CITY OF TYRONZA, ARK
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 09/06/2016
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Provider Practice Location Address
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Address Line | 200 S MAIN
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City | TYRONZA
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State | AR
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Zip | 72386
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Country | US
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Telephone | 870-487-2168
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S MAIN
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City | TYRONZA
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State | AR
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Zip | 72386
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Country | US
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Telephone | 870-487-2168
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Fax |
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Authorized Official
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Title or Position | RECORDER/TREASURER
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Name | MRS. DONNA D WOOD
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Credential |
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Telephone | 870-487-2168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 621
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License Number State | AR
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