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General NPI Number Information
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NPI Number | 1831144120
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 1601 W 40TH AVE
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City | PINE BLUFF
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State | AR
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Zip | 71603-6069
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Country | US
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Telephone | 870-541-6000
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Fax | 870-541-3198
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Provider Business Mailing Address
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Address Line | PO BOX 251420
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City | LITTLE ROCK
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State | AR
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Zip | 72225-1420
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Country | US
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Telephone | 501-686-8000
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Fax | 870-541-6034
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Authorized Official
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Title or Position | VICE CHANCELLOR-CHIEF FINANCIAL OFF
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Name | AMANDA GEORGE
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Credential |
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Telephone | 501-686-5670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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