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General NPI Number Information
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NPI Number | 1861593816
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Entity Type | Organization
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Legal Business Name | ARKANSAS METHODIST HOSPITAL CORPORATION
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 900 W KINGSHIGHWAY
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City | PARAGOULD
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State | AR
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Zip | 72450-5942
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Country | US
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Telephone | 870-239-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 925 SHERWOOD DR
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City | LAKE BLUFF
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State | IL
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Zip | 60044-2203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BARRY DAVIS
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Credential |
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Telephone | 870-239-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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