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NPI 1104660802

NPI 1104660802 : GENIE ANNE-MARIE MILONE CNP : FORT SMITH, AR

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General NPI Number Information
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    NPI Number           |    1104660802
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    Entity Type          |    Individual 
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    Provider Name        |    GENIE ANNE-MARIE MILONE CNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/19/2024
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    1301 S E ST 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72901-4716
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    Country              |    US
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    Telephone            |    479-785-2431
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    Fax                  |    479-494-7787
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Provider Business Mailing Address
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    Address Line         |    4301 W MARKHAM ST # 783 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72205-7101
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    Country              |    US
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    Telephone            |    501-686-8000
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    Fax                  |    501-526-5148
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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       |    233974
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    License Number State |    AR
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