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General NPI Number Information
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NPI Number | 1639515729
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Entity Type | Organization
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Legal Business Name | SETREK CORPORATION
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 05/15/2013
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Provider Practice Location Address
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Address Line | 100 N DIXIELAND RD STE A-5
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City | ROGERS
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State | AR
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Zip | 72756-1123
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Country | US
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Telephone | 479-936-9885
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Fax | 479-936-9887
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Provider Business Mailing Address
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Address Line | 100 N DIXIELAND RD STE A-5
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City | ROGERS
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State | AR
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Zip | 72756-1123
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Country | US
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Telephone | 479-936-9885
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Fax | 479-936-9887
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | CARLENE WELCH
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Credential |
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Telephone | 479-936-9885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | AR4569
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License Number State | AR
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