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General NPI Number Information
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NPI Number | 1952345183
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL ARKANSAS MEDICAL ASSOCIATES
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 614 NORTH TOWN
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3105
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Country | US
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Telephone | 870-425-3131
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Fax | 870-425-3136
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Provider Business Mailing Address
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Address Line | 614 NORTH TOWN
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3105
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Country | US
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Telephone | 870-425-3131
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Fax | 870-424-4472
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Authorized Official
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Title or Position | PROJECT MANAGER
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Name | KENDERIA PERRY
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Credential |
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Telephone | 501-213-7313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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