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General NPI Number Information
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NPI Number | 1992948723
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Entity Type | Organization
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Legal Business Name | MEDICAL PARK ANESTHESIA
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 2001 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-8124
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Country | US
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Telephone | 870-722-2416
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Fax | 870-722-7278
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Provider Business Mailing Address
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Address Line | 2001 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-8124
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Country | US
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Telephone | 870-722-2416
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Fax | 870-722-7278
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TED CHEEK
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Credential |
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Telephone | 870-722-2402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | AR4348
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License Number State | AR
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