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General NPI Number Information
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NPI Number | 1750402806
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Entity Type | Organization
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Legal Business Name | HOWARD MEMORIAL HOSPITAL HOME HEALTH
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 03/07/2008
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Provider Practice Location Address
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Address Line | 900 LESLIE ST SUITE 4
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City | NASHVILLE
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State | AR
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Zip | 71852-4017
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Country | US
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Telephone | 870-845-8206
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Fax | 870-451-9741
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Provider Business Mailing Address
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Address Line | PO BOX 381
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City | NASHVILLE
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State | AR
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Zip | 71852-0381
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Country | US
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Telephone | 870-845-8206
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Fax | 870-451-9741
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Authorized Official
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Title or Position | CEO
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Name | MR. BRIAN BICKEL
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Credential |
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Telephone | 870-845-8206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | AR4223
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License Number State | AR
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