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General NPI Number Information
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NPI Number | 1730863143
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Entity Type | Organization
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Legal Business Name | VRM MEDICAL, , LLC
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 1636 HIGDON FERRY RD # D
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6912
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Country | US
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Telephone | 501-651-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 704 N HUGHES ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2819
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Country | US
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Telephone | 479-886-4755
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VIRGIL RUDOLPH MASSEY III
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Credential | MD
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Telephone | 479-886-4755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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