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General NPI Number Information
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NPI Number | 1033770482
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Entity Type | Individual
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Provider Name | ANNA BRINKLEY OD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 3395 HWY 5 N
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City | BRYANT
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State | AR
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Zip | 72019-9031
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Country | US
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Telephone | 501-847-9797
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Fax |
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Provider Business Mailing Address
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Address Line | 1412 PUCKETT BEND RD
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City | MOUNT IDA
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State | AR
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Zip | 71957-9325
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Country | US
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Telephone | 501-860-0192
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Fax | 501-847-9798
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2798
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License Number State | AR
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