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General NPI Number Information
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NPI Number | 1154994911
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Entity Type | Individual
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Provider Name | PAULA DILLARD APRN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 505 HILLCREST ST STE 2
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City | BULL SHOALS
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State | AR
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Zip | 72619-3109
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Country | US
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Telephone | 870-232-5315
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Fax | 870-232-5316
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Provider Business Mailing Address
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Address Line | 14 MEDICAL PLZ STE 2
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-2919
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Country | US
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Telephone | 870-232-5315
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Fax | 870-232-5316
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 216744
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License Number State | AR
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