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General NPI Number Information
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NPI Number | 1669735759
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Entity Type | Organization
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Legal Business Name | KURT EHLERT, MD, P.A.
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 1500 DODSON AVE SUITE 285
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City | FORT SMITH
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State | AR
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Zip | 72901-5182
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Country | US
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Telephone | 479-709-7280
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Fax | 479-709-7281
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Provider Business Mailing Address
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Address Line | PO BOX 602752
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City | CHARLOTTE
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State | NC
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Zip | 28260-2752
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Country | US
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Telephone | 479-709-7280
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Fax | 479-709-7281
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Authorized Official
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Title or Position | OWNER/CEO
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Name | KURT EHLERT
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Credential | MD
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Telephone | 866-885-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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