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General NPI Number Information
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NPI Number | 1679061634
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Entity Type | Organization
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Legal Business Name | BARLING CLINIC, LLC
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1200 FORT ST
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City | BARLING
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State | AR
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Zip | 72923
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Country | US
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Telephone | 479-763-1511
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Fax | 479-358-1455
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Provider Business Mailing Address
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Address Line | PO BOX 170
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City | OZARK
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State | AR
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Zip | 72949-0170
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Country | US
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Telephone | 479-209-4991
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Fax | 479-358-1455
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Authorized Official
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Title or Position | EXECUTIVE MEMBER
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Name | ALICE HOBSON
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Credential |
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Telephone | 479-763-1511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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