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General NPI Number Information
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NPI Number | 1043967581
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Entity Type | Organization
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Legal Business Name | APRN MEDICAL CONSULTANT LLC
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 16412 MAJESTIC LN
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City | SPRINGDALE
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State | AR
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Zip | 72764-6745
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Country | US
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Telephone | 479-200-9295
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Fax |
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Provider Business Mailing Address
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Address Line | 16412 MAJESTIC LN
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City | SPRINGDALE
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State | AR
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Zip | 72764-6745
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Country | US
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Telephone | 479-200-9295
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | PAMELA MARIE MOUNCE
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Credential |
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Telephone | 479-200-9295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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