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General NPI Number Information
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NPI Number | 1811796147
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTH
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 757 E FRONT ST
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City | LONOKE
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State | AR
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Zip | 72086-3219
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Country | US
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Telephone | 501-266-7265
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Fax |
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Provider Business Mailing Address
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Address Line | 757 E FRONT ST
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City | LONOKE
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State | AR
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Zip | 72086-3219
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Country | US
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Telephone | 501-266-7265
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TROY WELLS
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Credential |
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Telephone | 501-202-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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