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General NPI Number Information
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NPI Number | 1124800198
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Entity Type | Individual
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Provider Name | BRIAN FLECKENSTINE MSN, APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 924 MAIN ST
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City | LITTLE ROCK
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State | AR
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Zip | 72202-3818
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Country | US
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Telephone | 501-319-7074
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Fax | 501-246-3343
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Provider Business Mailing Address
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Address Line | 10025 OAKLAND DR
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-1942
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Country | US
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Telephone | 501-800-4061
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Fax | 501-800-1007
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 226157
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License Number State | AR
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