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General NPI Number Information
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NPI Number | 1649811027
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Entity Type | Organization
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Legal Business Name | WHITE RIVER HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 525 VIRGINIA DR
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City | BATESVILLE
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State | AR
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Zip | 72501-7331
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Country | US
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Telephone | 870-262-6200
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Fax | 870-262-6216
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Provider Business Mailing Address
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Address Line | 16 HOSPITAL CIR STE A
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City | BATESVILLE
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State | AR
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Zip | 72501-7343
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CONTRACT COMPLIANCE SPECIALIST
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Name | HEATHER BILLINGSLEY
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Credential |
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Telephone | 870-262-5545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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