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General NPI Number Information
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NPI Number | 1750965331
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Entity Type | Organization
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Legal Business Name | ARKANSAS BEHAVIORAL HEALTH CENTER, INC
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 904 AUTUMN RD STE 425
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3702
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Country | US
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Telephone | 501-261-7611
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Fax | 501-747-1302
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Provider Business Mailing Address
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Address Line | 904 AUTUMN RD STE 425
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3702
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Country | US
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Telephone | 501-261-7611
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Fax | 501-615-8982
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AMY HARDIN
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Credential |
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Telephone | 501-615-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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