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General NPI Number Information
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NPI Number | 1275476186
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Entity Type | Organization
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Legal Business Name | RE-ENGAGE PSYCHIATRY AND RECOVERY
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 401 W CAPITOL AVE SUITE 1700
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3438
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Country | US
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Telephone | 501-353-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 13008 AVILLA HILLS CV
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City | ALEXANDER
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State | AR
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Zip | 72002-8074
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Country | US
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Telephone | 501-353-7110
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Fax |
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Authorized Official
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Title or Position | NP, PMHNP-C
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Name | MARY BANKS
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Credential | APRN
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Telephone | 501-353-7110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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