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General NPI Number Information
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NPI Number | 1154727378
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Entity Type | Individual
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Provider Name | BRIANA LEE NEWCOMB APRN
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Gender | Female
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Dates
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Enumeration Date | 11/16/2014
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 6640 CONGO RD
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City | BENTON
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State | AR
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Zip | 72019-6913
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Country | US
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Telephone | 501-794-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 6640 CONGO RD
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City | BENTON
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State | AR
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Zip | 72019-6913
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Country | US
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Telephone | 501-794-4110
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Fax | 501-316-9360
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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 | A004239
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License Number State | AR
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