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Contact Information

DEBRA FAULKNER
3025 N WYATT DR
EL DORADO, AR71730-4189
 Phone: 870-310-0321
 Fax: 870-862-2074
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Portable Xray Supplier

335V00000X 63 Portable X-Ray Supplier
Indicates primary specialty

NPI Profile & details for DEBRA FAULKNER

NPI Number 1265620868
LBN Legal business name DEBRA FAULKNER
Authorized official DEBRA FAULKNER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/09/2007
Last updated 08/30/2010 - About 16 years ago
Identifiers
AR Medicaid 140983710
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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