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General NPI Number Information
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NPI Number | 1821279134
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Entity Type | Organization
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Legal Business Name | METROPARK DENTAL ARTS
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 508 S 52ND ST
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City | ROGERS
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State | AR
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Zip | 72758-8600
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Country | US
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Telephone | 479-845-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 508 S 52ND ST
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City | ROGERS
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State | AR
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Zip | 72758-8600
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Country | US
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Telephone | 479-845-1191
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. BARRY L HENBEST
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Credential | DDS
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Telephone | 479-845-1191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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