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General NPI Number Information
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NPI Number | 1114959012
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Entity Type | Individual
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Provider Name | KAY CHERENE BLACK APRN-CNS
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 200 MILLBRANCH CT
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7243
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Country | US
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Telephone | 918-530-7257
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Fax | 855-595-1072
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Provider Business Mailing Address
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Address Line | 200 MILLBRANCH CT
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7243
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Country | US
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Telephone | 918-530-7257
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Fax | 855-595-1072
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | CNS00140
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | CNS00140
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 33977
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | CNS00140
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License Number State | NM
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