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General NPI Number Information
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NPI Number | 1205362738
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Entity Type | Individual
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Provider Name | HANNAH RAE HOWARD APRN
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Gender | Female
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Dates
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Enumeration Date | 05/03/2017
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 249 S MAIN ST
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City | JONESBORO
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State | AR
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Zip | 72401-2908
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Country | US
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Telephone | 870-336-1793
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Fax | 870-336-1786
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Provider Business Mailing Address
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Address Line | 249 S MAIN ST
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City | JONESBORO
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State | AR
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Zip | 72401-2908
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Country | US
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Telephone | 870-336-1793
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Fax | 870-336-1786
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A005124
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A005124
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License Number State | AR
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