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General NPI Number Information
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NPI Number | 1689445330
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Entity Type | Organization
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Legal Business Name | PAFFORD PHYSICIAN SERVICES EM PLLC
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Dates
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Enumeration Date | 01/11/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 2001 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-8144
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Country | US
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Telephone | 870-474-6023
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E 20TH ST STE F
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City | HOPE
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State | AR
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Zip | 71801-8222
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Country | US
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Telephone | 870-777-7760
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE
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Name | REBECCA B WILLIAMSON
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Credential |
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Telephone | 870-474-6023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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