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General NPI Number Information
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NPI Number | 1770941171
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Entity Type | Individual
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Provider Name | SEKOU RAWLINS PA
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Gender | Male
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 923 LEXINGTON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-4943
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Country | US
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Telephone | 479-709-7080
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Fax | 479-709-7081
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Provider Business Mailing Address
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Address Line | 11001 EXECUTIVE CENTER DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4393
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Country | US
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Telephone | 479-709-7430
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Fax | 479-573-2563
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-1302
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License Number State | AR
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