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General NPI Number Information
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NPI Number | 1790048585
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Entity Type | Organization
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Legal Business Name | ARKANSAS REHABILITATION SERVICES
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 105 RESERVE ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-4195
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Country | US
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Telephone | 501-701-6574
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Fax |
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Provider Business Mailing Address
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Address Line | 105 RESERVE ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-4195
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Country | US
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Telephone | 501-701-6574
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Fax |
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Authorized Official
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Title or Position | MEDICAL SERVICES MANAGER
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Name | DR. ALAN R PHILLIPS
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Credential | DPT
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Telephone | 501-701-6574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | DE01743
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License Number State | AR
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