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General NPI Number Information
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NPI Number | 1215696513
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Entity Type | Individual
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Provider Name | TAMELA DEE MCNEW APRN
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 03/11/2022
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Provider Practice Location Address
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Address Line | 1 CENTER CIR
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City | WARREN
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State | AR
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Zip | 71671-3099
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Country | US
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Telephone | 501-951-1828
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Fax |
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Provider Business Mailing Address
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Address Line | 1044 HIGHWAY 35 S
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City | SHERIDAN
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State | AR
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Zip | 72150-6402
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Country | US
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Telephone | 501-951-1828
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Fax |
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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 | 214633
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License Number State | AR
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