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General NPI Number Information
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NPI Number | 1710832720
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Entity Type | Organization
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Legal Business Name | RESTORE HEALING CENTER LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 250 ADAM BROWN RD UNIT A
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City | PEARCY
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State | AR
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Zip | 71964-9519
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Country | US
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Telephone | 501-318-2020
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Fax | 501-767-5450
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Provider Business Mailing Address
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Address Line | 199 ARABIAN TRL
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City | HOT SPRINGS NATIONAL PARK
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State | AR
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Zip | 71901-2121
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Country | US
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Telephone | 630-327-0471
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Fax | 630-393-3388
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIE L LOGAN
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Credential | DC
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Telephone | 630-327-0471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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