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General NPI Number Information
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NPI Number | 1033458716
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Entity Type | Individual
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Provider Name | KENDYL DAWN HOVIS MS, LPC-S
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Gender | Female
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 2700 SE OTIS CORLEY DR STE 14
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City | BENTONVILLE
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State | AR
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Zip | 72712-4184
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Country | US
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Telephone | 479-895-1313
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Fax | 479-397-4813
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Provider Business Mailing Address
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Address Line | 2700 SE OTIS CORLEY DR STE 14
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City | BENTONVILLE
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State | AR
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Zip | 72712-4184
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Country | US
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Telephone | 479-895-1313
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Fax | 479-397-4813
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1804049
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License Number State | AR
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