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General NPI Number Information
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NPI Number | 1194556753
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Entity Type | Individual
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Provider Name | JAMES DARREL BRYARS LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/13/2024
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 308 N 24TH ST
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City | ROGERS
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State | AR
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Zip | 72756-3295
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Country | US
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Telephone | 870-654-5790
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Fax | 479-397-4793
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Provider Business Mailing Address
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Address Line | 3530 W BELMONT CIR
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-6043
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Country | US
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Telephone | 870-654-5790
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Fax | 479-397-4793
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9240-C
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License Number State | AR
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