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General NPI Number Information
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NPI Number | 1750201430
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Entity Type | Organization
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Legal Business Name | BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 101 N CLIFTON ST STE 3
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City | FORDYCE
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State | AR
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Zip | 71742
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Country | US
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Telephone | 870-352-6226
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Fax | 870-352-6490
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Provider Business Mailing Address
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Address Line | 101 N CLIFTON ST STE 3
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City | FORDYCE
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State | AR
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Zip | 71742
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Country | US
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Telephone | 870-352-6226
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Fax | 870-352-6490
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Authorized Official
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Title or Position | PAYROLL
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Name | MECHELLE BROWN
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Credential |
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Telephone | 870-352-6465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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