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General NPI Number Information
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NPI Number | 1851347264
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Entity Type | Organization
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Legal Business Name | NEWPORT RADIOLOGY CONSULTANTS PA
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 1205 MCLAIN ST DEPT. OF RADIOLOGY
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City | NEWPORT
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State | AR
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Zip | 72112-3533
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Country | US
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Telephone | 870-523-6592
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Fax | 870-523-0137
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Provider Business Mailing Address
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Address Line | PO BOX 1270
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City | NEWPORT
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State | AR
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Zip | 72112-1270
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Country | US
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Telephone | 870-523-6592
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Fax | 870-523-0137
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MUFIZ A CHAUHAN
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Credential | MD
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Telephone | 870-523-6592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | NA
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License Number State | AR
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