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General NPI Number Information
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NPI Number | 1861462749
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Entity Type | Organization
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Legal Business Name | WOOD-LAWN, INC
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2901 NEELEY ST
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City | BATESVILLE
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State | AR
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Zip | 72501-6223
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Country | US
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Telephone | 870-793-7195
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Fax | 870-793-5265
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Provider Business Mailing Address
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Address Line | 2901 NEELEY ST
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City | BATESVILLE
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State | AR
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Zip | 72501-6223
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Country | US
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Telephone | 870-793-7195
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Fax | 870-793-5265
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DEBBIE BAKER
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Credential |
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Telephone | 870-793-7195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 207Q00000X
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License Number State | AR
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