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General NPI Number Information
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NPI Number | 1891573523
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Entity Type | Organization
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Legal Business Name | OZARK HEALTH, INC
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 199 SCHOOL DR
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City | SHIRLEY
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State | AR
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Zip | 72153-7566
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Country | US
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Telephone | 501-723-4400
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Fax | 501-745-9741
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Provider Business Mailing Address
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Address Line | PO BOX 206
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City | CLINTON
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State | AR
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Zip | 72031-0206
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Country | US
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Telephone | 501-745-9524
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Fax | 501-745-9741
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Authorized Official
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Title or Position | ACCOUNTING SPECIALIST
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Name | REBECCA GENTRY
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Credential |
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Telephone | 501-745-9524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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