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General NPI Number Information
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NPI Number | 1710424478
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Entity Type | Organization
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Legal Business Name | ST FRANCIS HOUSE NWA, INC
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 01/15/2020
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Provider Practice Location Address
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Address Line | 1233 WEST POPLAR SUITE 1290
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City | ROGERS
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State | AR
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Zip | 72756-4249
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Country | US
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Telephone | 479-636-9235
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Fax | 479-751-2878
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Provider Business Mailing Address
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Address Line | 614 E EMMA AVENUE SUITE 300
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City | SPRINGDALE
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State | AR
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Zip | 72764-4469
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Country | US
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Telephone | 479-751-7417
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Fax | 479-751-4898
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Authorized Official
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Title or Position | CEO
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Name | JAMES SEMINGSON
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Credential |
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Telephone | 479-751-7417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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