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General NPI Number Information
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NPI Number | 1821229527
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Entity Type | Organization
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Legal Business Name | EICHHORN AND COMPANY
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Dates
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Enumeration Date | 07/30/2009
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Last Update Date | 07/30/2009
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Provider Practice Location Address
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Address Line | 1120 S MAIN ST
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City | SEARCY
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State | AR
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Zip | 72143-7319
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Country | US
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Telephone | 501-230-9181
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Fax | 501-268-0134
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Provider Business Mailing Address
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Address Line | 134 PANTHER TRL
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City | SEARCY
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State | AR
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Zip | 72143-9207
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Country | US
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Telephone | 501-278-6373
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Fax | 501-268-0134
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEZRA J EICHHORN
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Credential |
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Telephone | 501-278-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | A01585
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License Number State | AR
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