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General NPI Number Information
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NPI Number | 1962652859
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Entity Type | Organization
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Legal Business Name | SALINE WOMENS GROUP
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Dates
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Enumeration Date | 09/26/2008
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 1100 MEDICAL DR
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-1425
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Country | US
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Telephone | 870-780-1363
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Fax | 870-780-1364
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Provider Business Mailing Address
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Address Line | 1100 MEDICAL DR
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City | BLYTHEVILLE
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State | AR
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Zip | 72315-1425
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Country | US
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Telephone | 870-780-1363
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Fax | 870-780-1364
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY E. DANIELS
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Credential | M.D.
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Telephone | 870-780-1363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | E4589
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License Number State | AR
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