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General NPI Number Information
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NPI Number | 1215826565
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Entity Type | Organization
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Legal Business Name | ATWOOD PLASTIC SURGERY AND AESTHETICS
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 9500 BAPTIST HEALTH DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72205-6343
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Country | US
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Telephone | 844-639-9689
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Fax | 501-200-9528
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Provider Business Mailing Address
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Address Line | PO BOX 463
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City | BENTON
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State | AR
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Zip | 72018-0463
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Country | US
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Telephone | 844-639-9689
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Fax | 501-200-9528
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DANIELLE NICHOLE ATWOOD
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Credential | MD, PHD
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Telephone | 844-639-9689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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