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General NPI Number Information
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NPI Number | 1205824539
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Entity Type | Individual
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Provider Name | LANA ANN ELKINS M.ED.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3444 OLD GREENWOOD RD SUITE C
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City | FORT SMITH
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State | AR
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Zip | 72903-5462
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Country | US
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Telephone | 479-452-6937
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Fax | 479-646-3828
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Provider Business Mailing Address
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Address Line | 2200 DUNDEE DR
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City | FORT SMITH
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State | AR
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Zip | 72908-0933
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Country | US
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Telephone | 479-452-6937
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Fax | 479-646-3828
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P9009017
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License Number State | AR
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