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General NPI Number Information
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NPI Number | 1881830461
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Entity Type | Organization
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Legal Business Name | HEALTH RESOURCES OF ARKANSAS, INC.
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 679 N MAIN ST
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City | SALEM
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State | AR
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Zip | 72576
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Country | US
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Telephone | 870-895-3170
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Fax | 870-895-3172
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Provider Business Mailing Address
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Address Line | 25 GAP RD
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City | BATESVILLE
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State | AR
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Zip | 72501-8679
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Country | US
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Telephone | 870-793-8900
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Fax | 870-793-8959
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. BERNIS MEDLOCK
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Credential |
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Telephone | 870-793-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | AR
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