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General NPI Number Information
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NPI Number | 1851114003
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Entity Type | Organization
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Legal Business Name | VASCULAR CENTER OF HOT SPRINGS, LLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 120 CRACKER BOX LN
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City | HOT SPRINGS
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State | AR
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Zip | 71913-5418
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Country | US
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Telephone | 501-521-1380
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Fax | 501-260-7749
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Provider Business Mailing Address
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Address Line | 120 CRACKER BOX LN
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City | HOT SPRINGS
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State | AR
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Zip | 71913-5418
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Country | US
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Telephone | 501-521-1380
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Fax | 501-260-7749
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. JUANITA MICHELLE PATINO
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Credential |
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Telephone | 833-626-8724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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