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General NPI Number Information
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NPI Number | 1255912705
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Entity Type | Individual
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Provider Name | KAYLA JO BOND APRN
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Gender | Female
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 1205 SKYLINE DR
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City | SEARCY
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State | AR
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Zip | 72143-6527
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Country | US
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Telephone | 501-268-6188
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Fax |
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Provider Business Mailing Address
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Address Line | 1745 CALHOUN DR
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City | CONWAY
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State | AR
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Zip | 72034-7370
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Country | US
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Telephone | 501-733-5697
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 125377
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 125377
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 125377
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 125377
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License Number State | AR
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