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General NPI Number Information
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NPI Number | 1215841176
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Entity Type | Individual
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Provider Name | KELTEN DUNLAP NRP
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Gender | Male
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 615 W 5TH AVE
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City | PINE BLUFF
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State | AR
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Zip | 71601-4108
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Country | US
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Telephone | 501-941-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 53 PARK CIR
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City | CABOT
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State | AR
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Zip | 72023-2851
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Country | US
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Telephone |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 35123
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License Number State | AR
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