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General NPI Number Information
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NPI Number | 1124266598
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Entity Type | Individual
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Provider Name | DEBORAH KAYE BASKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 04/23/2020
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Provider Practice Location Address
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Address Line | 350 SALEM RD STE 1
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City | CONWAY
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State | AR
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Zip | 72034-6166
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Country | US
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Telephone | 501-336-8300
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Fax | 501-329-5508
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Provider Business Mailing Address
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Address Line | 2400 S 48TH ST
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City | SPRINGDALE
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State | AR
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Zip | 72762-6683
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Country | US
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Telephone | 479-750-2020
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Fax | 479-750-4843
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9361-C
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License Number State | AR
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