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General NPI Number Information
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NPI Number | 1104433341
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Entity Type | Individual
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Provider Name | JOSHUA DEAL FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/30/2020
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 614 E EMMA AVE
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City | SPRINGDALE
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State | AR
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Zip | 72764-4634
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Country | US
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Telephone | 479-751-7417
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Fax |
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Provider Business Mailing Address
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Address Line | 3503 NW CREEKSTONE CV
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City | BENTONVILLE
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State | AR
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Zip | 72712-8595
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Country | US
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Telephone | 479-252-0644
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Fax |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 232268
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License Number State | AR
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