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General NPI Number Information
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NPI Number | 1740275775
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Entity Type | Individual
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Provider Name | ROBERT JEFFRIES MD
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Gender | Male
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Dates
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Enumeration Date | 09/15/2005
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 3602 W SOUTHERN HILLS BLVD
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City | ROGERS
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State | AR
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Zip | 72758-8013
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Country | US
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Telephone | 479-631-8900
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Fax | 479-899-6698
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Provider Business Mailing Address
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Address Line | 3602 W SOUTHERN HILLS BLVD
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City | ROGERS
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State | AR
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Zip | 72758-8013
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Country | US
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Telephone | 479-631-8900
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Fax | 479-899-6698
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD104152
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C8269
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License Number State | AR
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