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General NPI Number Information
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NPI Number | 1851956577
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Entity Type | Organization
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Legal Business Name | DELTA MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 811 HIGHWAY 65 S
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City | DUMAS
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State | AR
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Zip | 71639-3006
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Country | US
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Telephone | 870-382-8145
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Fax | 870-382-7645
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Provider Business Mailing Address
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Address Line | 811 HIGHWAY 65 S
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City | DUMAS
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State | AR
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Zip | 71639-3006
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Country | US
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Telephone | 870-382-8145
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Fax | 870-382-7645
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Authorized Official
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Title or Position | CFO
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Name | VICKI J ALLEN
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Credential |
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Telephone | 870-382-8267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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