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General NPI Number Information
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NPI Number | 1003450230
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Entity Type | Organization
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Legal Business Name | RAISING THE STANDARDS OF CARE LLC
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 03/20/2020
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Provider Practice Location Address
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Address Line | 361 SOUTHWEST DR STE 771
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City | JONESBORO
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State | AR
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Zip | 72401-5854
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Country | US
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Telephone | 870-559-5006
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Fax |
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Provider Business Mailing Address
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Address Line | 157 BOSTON CV
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City | MARION
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State | AR
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Zip | 72364-8008
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Country | US
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Telephone | 870-559-5006
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Fax | 870-931-5454
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | LAKISHA ANTIONETTE MCDANIEL
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Credential | DNP, APRN
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Telephone | 870-514-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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