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General NPI Number Information
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NPI Number | 1013883297
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Entity Type | Individual
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Provider Name | CANDACE SIPES NP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 304 TEACO RD
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City | KENNETT
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State | MO
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Zip | 63857-3266
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Country | US
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Telephone | 573-559-3591
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Fax | 573-658-1876
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Provider Business Mailing Address
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Address Line | 304 TEACO RD
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City | KENNETT
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State | MO
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Zip | 63857-3266
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Country | US
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Telephone | 573-559-3591
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Fax | 573-658-1876
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 235127
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License Number State | AR
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