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General NPI Number Information
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NPI Number | 1104748516
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Entity Type | Individual
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Provider Name | KAYLEE BUTLER
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 472 MAGNET SCHOOL RD
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City | MALVERN
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State | AR
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Zip | 72104-3590
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Country | US
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Telephone | 501-332-5468
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Fax |
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Provider Business Mailing Address
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Address Line | 149 COUCHWOOD TER
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City | HOT SPRINGS NATIONAL PARK
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State | AR
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Zip | 71901-8877
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Country | US
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Telephone | 501-303-0069
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | R103127
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License Number State | AR
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