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General NPI Number Information
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NPI Number | 1114145893
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Entity Type | Individual
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Provider Name | DANA R. REED APN
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 06/18/2019
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Provider Practice Location Address
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Address Line | 1641 S WHITEHEAD DR
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City | DE WITT
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State | AR
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Zip | 72042-2994
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Country | US
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Telephone | 870-946-3637
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Fax | 870-946-4410
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Provider Business Mailing Address
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Address Line | 103 STONEBROOK
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City | HELENA
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State | AR
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Zip | 72342-2205
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Country | US
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Telephone | 870-572-4077
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A01863
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License Number State | AR
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