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General NPI Number Information
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NPI Number | 1154382992
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Entity Type | Individual
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Provider Name | CARMEN T PANIAGUA TORRES EDD, ACNP/APNG/FAANP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 4301 W MARKHAM ST # 783
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-8708
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Fax | 501-686-8350
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Provider Business Mailing Address
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Address Line | 4301 WEST MARKHAM ST. SLOT 584
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City | LITTLE ROCK
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State | AR
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Zip | 72205-4928
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Country | US
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Telephone | 501-686-5515
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | A02968
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License Number State | AR
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