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General NPI Number Information
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NPI Number | 1730819145
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Entity Type | Organization
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Legal Business Name | ARKANSAS RHEUMATOLOGY INSTITUTE
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 03/23/2023
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Provider Practice Location Address
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Address Line | 500 S UNIVERSITY AVE
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5302
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Country | US
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Telephone | 501-747-1064
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Fax | 501-747-1087
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Provider Business Mailing Address
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Address Line | 500 S UNIVERSITY AVE STE 815
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5310
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Country | US
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Telephone | 501-747-1064
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Fax | 501-747-1087
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | LINDA LONG
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Credential |
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Telephone | 501-223-2776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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