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General NPI Number Information
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NPI Number | 1033087648
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Entity Type | Individual
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Provider Name | BEVERLY ANN HALL CHILDCARE PROF
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Gender | Female
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 200 W 20TH ST
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-2812
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Country | US
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Telephone | 501-773-2594
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Fax | 501-904-2392
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Provider Business Mailing Address
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Address Line | 200 W 20TH ST
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72114-2812
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Country | US
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Telephone | 501-773-2594
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Fax | 501-904-2392
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 20-0713835
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License Number State | AR
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