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General NPI Number Information
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NPI Number | 1144595570
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Entity Type | Individual
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Provider Name | ANGELA GAIL DODD APRN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 199 SCHOOL DR
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City | SHIRLEY
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State | AR
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Zip | 72153-7566
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Country | US
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Telephone | 844-722-6742
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Fax | 888-440-7568
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Provider Business Mailing Address
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Address Line | PO BOX 1060
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City | MARSHALL
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State | AR
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Zip | 72650-1060
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Country | US
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Telephone | 870-448-5101
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Fax | 870-448-3767
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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 | A03662
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License Number State | AR
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