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General NPI Number Information
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NPI Number | 1861216327
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Entity Type | Organization
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Legal Business Name | ARKANSAS HEALTH GROUP
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 11001 EXECUTIVE CENTER DR STE 200-C
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4348
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Country | US
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Telephone | 501-812-7587
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Fax | 501-812-7777
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Provider Business Mailing Address
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Address Line | 11001 EXECUTIVE CENTER DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4393
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Country | US
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Telephone | 501-812-7800
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Fax | 501-812-7777
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Authorized Official
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Title or Position | CEO
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Name | WILL RUSHER
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Credential |
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Telephone | 501-812-7215
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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 |
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License Number State |
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