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General NPI Number Information
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NPI Number | 1013563493
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Entity Type | Individual
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Provider Name | STARLA LYNNETTE SMITH NP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2019
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 319 HIGHWAY 14 S
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City | YELLVILLE
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State | AR
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Zip | 72687-0409
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Country | US
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Telephone | 870-449-7000
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Fax | 866-554-1757
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | MARSHALL
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State | AR
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Zip | 72650-1060
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Country | US
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Telephone | 417-934-2251
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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 | 2019033524
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A006141
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License Number State | AR
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