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General NPI Number Information
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NPI Number | 1831604024
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Entity Type | Organization
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Legal Business Name | POSITION CPR LLC
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Dates
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Enumeration Date | 12/10/2017
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 4601 JFK BLVD STE 94545
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-7310
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Country | US
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Telephone | 501-420-3703
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 94545
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72190-4545
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Country | US
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Telephone | 501-420-3703
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MRS. TERRI J EVANS
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Credential | RN
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Telephone | 501-420-3703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 12358
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License Number State | AR
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