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General NPI Number Information
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NPI Number | 1023082575
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Entity Type | Individual
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Provider Name | DEBRA CHARLENE WEST APN
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 402 S MAIN ST
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City | DE WITT
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State | AR
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Zip | 72042-2618
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Country | US
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Telephone | 870-946-0079
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Fax | 870-946-0090
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Provider Business Mailing Address
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Address Line | 402 S MAIN ST
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City | DE WITT
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State | AR
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Zip | 72042-2618
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Country | US
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Telephone | 870-280-2621
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Fax | 870-412-4927
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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 | A01288ANP
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License Number State | AR
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