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General NPI Number Information
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NPI Number | 1790439602
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF CENTRAL ARKANSAS
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Dates
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Enumeration Date | 02/09/2022
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Last Update Date | 06/16/2023
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Provider Practice Location Address
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Address Line | 2200 BRUCE ST
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City | CONWAY
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State | AR
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Zip | 72035-5001
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Country | US
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Telephone | 501-470-7457
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Fax | 501-504-2105
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Provider Business Mailing Address
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Address Line | 2200 BRUCE ST. STE 101
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City | CONWAY
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State | AR
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Zip | 72034-6108
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Country | US
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Telephone | 501-470-7457
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Fax | 501-470-7457
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Authorized Official
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Title or Position | ASSOCIATE DEAN
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Name | CHAD LAIRAMORE
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Credential | PT, PHD
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Telephone | 501-852-2911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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