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NPI 1689594046

NPI 1689594046 : WASHINGTON REGIONAL MEDICAL CENTER : FAYETTEVILLE, AR

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General NPI Number Information
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    NPI Number           |    1689594046
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    Entity Type          |    Organization 
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    Legal Business Name  |    WASHINGTON REGIONAL MEDICAL CENTER 
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Dates
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    Enumeration Date     |    07/16/2026
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    Last Update Date     |    07/16/2026
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Provider Practice Location Address
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    Address Line         |    3215 N NORTHHILLS BLVD 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72703-4007
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    Country              |    US
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    Telephone            |    479-463-1122
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    Fax                  |    479-463-5363
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Provider Business Mailing Address
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    Address Line         |    3215 N NORTHHILLS BLVD 
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    City                 |    FAYETTEVILLE
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    State                |    AR
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    Zip                  |    72703-4007
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    Country              |    US
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    Telephone            |    479-463-1122
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    Fax                  |    479-463-5363
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Authorized Official
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    Title or Position    |    EVP, CAO & GENERAL COUNSEL
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    Name                 |     THOMAS J. OLMSTEAD 
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    Credential           |    
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    Telephone            |    479-409-1368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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