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General NPI Number Information
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NPI Number | 1003058850
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Entity Type | Individual
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Provider Name | NANCY S KAY RN, LPC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 2894 N MCKEE CIR STE 116
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3498
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Country | US
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Telephone | 479-225-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 400 E MIMOSA LN
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-3969
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Country | US
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Telephone | 479-225-1111
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1891
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R63645
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P9809022
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License Number State | AR
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