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General NPI Number Information
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NPI Number | 1720641707
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Entity Type | Organization
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Legal Business Name | O'BRIAN HEALTHCARE INC
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 117 PIPER ST STE G
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8263
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Country | US
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Telephone | 501-321-9461
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Fax | 501-321-9552
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Provider Business Mailing Address
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Address Line | 117 PIPER ST STE G
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8263
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Country | US
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Telephone | 501-321-9461
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Fax | 501-321-9552
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Authorized Official
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Title or Position | SECRETARY
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Name | STEPHANIE LEIGH GREEN
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Credential |
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Telephone | 501-321-9461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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