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General NPI Number Information
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NPI Number | 1710207915
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Entity Type | Organization
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Legal Business Name | SALINE OPERATIONS, LLC
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 19701 INTERSTATE 30
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City | BENTON
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State | AR
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Zip | 72015-8024
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Country | US
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Telephone | 501-778-8200
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Fax | 501-778-9652
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Provider Business Mailing Address
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Address Line | 2230 S MACARTHUR DR SUITE 9
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City | ALEXANDRIA
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State | LA
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Zip | 71301-3057
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Country | US
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Telephone | 501-778-8200
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Fax | 501-778-9652
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. EARNEST JOHNSON
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Credential |
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Telephone | 501-778-8200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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