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General NPI Number Information
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NPI Number | 1932953809
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Entity Type | Organization
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Legal Business Name | SAMARITAN HOUSE COMMUNITY CENTER
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 2910 S 8TH ST
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City | ROGERS
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State | AR
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Zip | 72758-1031
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Country | US
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Telephone | 479-636-4198
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 939
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City | ROGERS
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State | AR
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Zip | 72757-0939
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Country | US
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Telephone | 479-636-4198
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEBBIE K RAMBO
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Credential |
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Telephone | 479-636-4198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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