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General NPI Number Information
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NPI Number | 1912728007
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Entity Type | Organization
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Legal Business Name | BAXTER HEALTH AMBULATORY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 100 TOWN CENTER DR STE B
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City | HARRISON
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State | AR
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Zip | 72601-3038
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Country | US
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Telephone | 870-741-6060
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Fax | 870-741-6013
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Provider Business Mailing Address
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Address Line | 100 SUITE B TOWN CENTER DR
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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 | 870-741-6060
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/AUTHORIZED OFFICIAL
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Name | BRIAN BARNETT
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Credential |
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Telephone | 870-508-1009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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