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General NPI Number Information
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NPI Number | 1821018417
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Entity Type | Organization
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Legal Business Name | CENTRAL ARKANSAS HEMATOLOGY AND ONCOLOGY CLINIC, PA
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 133 HARMONY PARK CIRCLE
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City | HOT SPRINGS
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State | AR
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Zip | 71913
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Country | US
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Telephone | 501-624-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 133 HARMONY PARK CIRCLE
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City | HOT SPRINGS
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State | AR
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Zip | 71913
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Country | US
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Telephone | 501-624-7700
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JELINDA SCOTT
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Credential |
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Telephone | 501-624-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number | MC-1130
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License Number State | AR
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