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General NPI Number Information
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NPI Number | 1912713389
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Entity Type | Organization
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Legal Business Name | ORTHOARKANSAS, PA
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2305 SPRINGHILL RD STE 4
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City | BRYANT
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State | AR
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Zip | 72019-7560
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Country | US
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Telephone | 501-500-3500
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Fax | 501-904-3620
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Provider Business Mailing Address
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Address Line | 800 FAIR PARK BLVD
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1720
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Country | US
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Telephone | 501-404-8007
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Fax | 501-904-3620
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | DANA WALKER
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Credential |
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Telephone | 501-404-8007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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