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General NPI Number Information
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NPI Number | 1023342508
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Entity Type | Individual
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Provider Name | DANA RENEE SATCHEL LPN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 609 W DYKE RD
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City | ROGERS
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State | AR
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Zip | 72758-6442
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Country | US
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Telephone | 479-927-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 15 PULHAM DR
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City | BELLA VISTA
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State | AR
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Zip | 72714-1833
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 0057521
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 24-39649-122
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LO57796
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L057796
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License Number State | AR
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