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General NPI Number Information
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NPI Number | 1841469194
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Entity Type | Organization
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Legal Business Name | WHITE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 02/20/2008
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 3014 E MOORE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4822
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Country | US
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Telephone | 501-268-4169
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Fax | 501-268-2349
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Provider Business Mailing Address
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Address Line | 3014 E MOORE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4822
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Country | US
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Telephone | 501-268-4169
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Fax | 501-268-2349
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Authorized Official
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Title or Position | VP, TREASURER
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Name | MR. STUART R HILL
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Credential |
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Telephone | 501-380-1004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 016
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License Number State | AR
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