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General NPI Number Information
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NPI Number | 1720043342
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Entity Type | Organization
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Legal Business Name | ARKANSAS ORTHOPEDICS PA
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 1007 E MATTHEWS AVE
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City | JONESBORO
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State | AR
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Zip | 72401-4308
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Country | US
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Telephone | 870-935-0519
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Fax | 870-802-0355
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Provider Business Mailing Address
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Address Line | 1007 E MATTHEWS AVE
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City | JONESBORO
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State | AR
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Zip | 72401-4308
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Country | US
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Telephone | 870-935-0519
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Fax | 870-802-0355
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AVA DARLENE FORTSON
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Credential |
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Telephone | 870-935-0519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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