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General NPI Number Information
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NPI Number | 1740450352
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Entity Type | Organization
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Legal Business Name | BAXTER COUNTY REGIONAL HOSPITAL INC.
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Dates
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Enumeration Date | 03/11/2008
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Last Update Date | 09/16/2015
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Provider Practice Location Address
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Address Line | 310 BUTTERCUP DR SUITE C
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2921
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Country | US
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Telephone | 870-424-7072
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Fax | 870-508-1338
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Provider Business Mailing Address
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Address Line | 310 BUTTERCUP DR SUITE C
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2921
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Country | US
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Telephone | 870-424-7072
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Fax | 870-508-1338
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. RUDY DARLING
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Credential |
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Telephone | 870-508-1018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | E2130
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License Number State | AR
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