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General NPI Number Information
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NPI Number | 1821806662
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Entity Type | Organization
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Legal Business Name | MIKE S MCFARLAND MDPA
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 312 W PERSHING BLVD
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-2224
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Country | US
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Telephone | 501-830-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 10700 N RODNEY PARHAM RD STE C2
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City | LITTLE ROCK
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State | AR
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Zip | 72212-4159
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Country | US
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Telephone | 501-830-2020
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | AMY OFFUTT
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Credential |
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Telephone | 870-536-4100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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