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General NPI Number Information
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NPI Number | 1861612228
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Entity Type | Organization
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Legal Business Name | NORTH ARKANSAS RHEUMATOLOGY, PLC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 123 CLAUDE PARRISH AVE
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City | HARRISON
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State | AR
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Zip | 72601
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Country | US
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Telephone | 870-365-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 123 CLAUDE PARRISH AVE P.O. BOX 1905
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City | HARRISON
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State | AR
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Zip | 72602-1905
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Country | US
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Telephone | 870-365-2550
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Fax |
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Authorized Official
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Title or Position | RHEUMATOLOGIST
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Name | RONALD ANGELO R RUBIO
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Credential | M.D.
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Telephone | 870-365-2550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | E-1996
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License Number State | AR
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