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General NPI Number Information
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NPI Number | 1164302444
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Entity Type | Organization
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Legal Business Name | FELLOWSHIP BIBLE CHURCH OF NORTHWEST ARKANSAS
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1051 W PLEASANT GROVE RD
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City | ROGERS
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State | AR
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Zip | 72758-8052
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Country | US
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Telephone | 479-659-3657
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Fax |
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Provider Business Mailing Address
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Address Line | 1051 W PLEASANT GROVE RD
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City | ROGERS
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State | AR
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Zip | 72758-8052
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Country | US
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Telephone | 479-659-3657
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KIMBERLY POPE
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Credential |
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Telephone | 479-409-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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