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General NPI Number Information
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NPI Number | 1669424339
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Entity Type | Organization
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Legal Business Name | ARKANSAS GASTROENTEROLOGY ENDOSCOPY CENTER
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 151 MCGOWAN CT
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6451
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Country | US
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Telephone | 501-623-4101
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Fax | 501-318-0430
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Provider Business Mailing Address
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Address Line | 151 MCGOWAN CT
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6451
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Country | US
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Telephone | 501-623-4101
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Fax | 501-318-0430
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. JOHN STEVEN MATHEWS
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Credential | M.D..
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Telephone | 501-623-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AR4289
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License Number State | AR
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