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General NPI Number Information
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NPI Number | 1023548997
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Entity Type | Individual
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Provider Name | DANIELLE NICHOLE ATWOOD MD, PHD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2017
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 9500 BAPTIST HEALTH DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6343
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Country | US
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Telephone | 844-639-9689
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Fax | 501-200-9528
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Provider Business Mailing Address
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Address Line | PO BOX 463
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City | BENTON
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State | AR
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Zip | 72018-0463
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Country | US
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Telephone | 844-639-9689
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Fax | 501-200-9528
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 336031
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | E-17747
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License Number State | AR
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