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NPI Code Detail

MEDICARE: ADLEY DOUCET

MEDICARE: ADLEY DOUCET
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1215661442
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADLEY DOUCET
Provider Business Mailing Address
First Line : PO BOX 647
Second Line :
City : JACKSONVILLE
State : AR
Zip : 72078-0647
Country : US
Telephone Number : 792-546-7174
Fax Number : 479-254-6761
Provider Business Practice Location Address
First Line : 1200 W WALNUT ST STE 1100
Second Line :
City : ROGERS
State : AR
Zip : 72756-3521
Country : US
Telephone Number : 479-254-6717
Fax Number : 479-254-6761
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2022
Last Update Date : 07/13/2022

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Directions to “ ADLEY DOUCET ” Practice Location

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