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NPI 1972211258

NPI 1972211258 : UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES : BENTONVILLE, AR

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General NPI Number Information
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    NPI Number           |    1972211258
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES 
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Dates
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    Enumeration Date     |    11/07/2022
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    Last Update Date     |    10/02/2025
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Provider Practice Location Address
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    Address Line         |    609 SW 8TH ST 
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    City                 |    BENTONVILLE
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    State                |    AR
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    Zip                  |    72712-7886
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    Country              |    US
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    Telephone            |    479-966-4491
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    507 W MONROE AVE 
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    City                 |    LOWELL
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    State                |    AR
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    Zip                  |    72745-8909
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    Country              |    US
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    Telephone            |    479-334-7030
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    Fax                  |    479-334-7029
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Authorized Official
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    Title or Position    |    VICE CHANCELLOR FOR FINANCE & CFO
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    Name                 |     AMANDA  GEORGE 
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    Credential           |    
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    Telephone            |    501-686-5670
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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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