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General NPI Number Information
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NPI Number | 1013255298
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Entity Type | Individual
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Provider Name | TONYA RENEA ALLEN APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 07/23/2014
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Provider Practice Location Address
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Address Line | 3112 S 70TH ST
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City | FORT SMITH
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State | AR
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Zip | 72903-5068
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Country | US
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Telephone | 479-452-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 4815 W MARKHAM ST
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City | LITTLE ROCK
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State | AR
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Zip | 72205-3866
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Country | US
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Telephone | 501-661-2000
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A003803
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License Number State | AR
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