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General NPI Number Information
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NPI Number | 1073576955
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Entity Type | Individual
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Provider Name | CECIL PRESTON MASSEY APRN
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 3501 CARRIAGE HILL DR STE B
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City | PARAGOULD
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State | AR
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Zip | 72450-5329
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Country | US
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Telephone | 870-573-2200
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Fax | 870-236-4009
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Provider Business Mailing Address
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Address Line | 3501 CARRIAGE HILL DR STE B
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City | PARAGOULD
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State | AR
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Zip | 72450-5329
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Country | US
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Telephone | 870-573-2200
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Fax | 870-236-4009
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A01544
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License Number State | AR
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