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NPI 1013394287

NPI 1013394287 : VALERIE BEDWELL : BENTONVILLE, AR

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General NPI Number Information
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    NPI Number           |    1013394287
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE BEDWELL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/27/2015
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    Last Update Date     |    09/08/2020
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Provider Practice Location Address
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    Address Line         |    2900 MEDICAL CENTER PKWY STE 240B 
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    City                 |    BENTONVILLE
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    State                |    AR
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    Zip                  |    72712-3204
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    Country              |    US
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    Telephone            |    479-553-2200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2422 N THOMPSON ST SUITE A
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    City                 |    SPRINGDALE
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    State                |    AR
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    Zip                  |    72764-1757
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    Country              |    US
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    Telephone            |    479-757-5025
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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       |    A004394
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    License Number State |    AR
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