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General NPI Number Information
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NPI Number | 1912012337
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Entity Type | Organization
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Legal Business Name | SOUTHERN CARE INC
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 669 N FALLS BLV
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City | WYNNE
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State | AR
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Zip | 72396
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Country | US
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Telephone | 870-589-2206
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Fax | 870-589-2206
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | BRINKLEY
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State | AR
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Zip | 72021-0088
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Country | US
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Telephone | 870-589-2206
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Fax | 870-589-2206
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Authorized Official
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Title or Position | COO
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Name | MS. B PAM PADGET
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Credential |
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Telephone | 870-589-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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