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General NPI Number Information
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NPI Number | 1295360360
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Entity Type | Individual
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Provider Name | HANNAH CAGLE APRN
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Gender | Female
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Dates
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Enumeration Date | 03/09/2020
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Last Update Date | 03/09/2020
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Provider Practice Location Address
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Address Line | 2801 MEDICAL CENTER DR
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City | POCAHONTAS
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State | AR
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Zip | 72455-9436
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Country | US
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Telephone | 870-892-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 EVENING DR
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City | POCAHONTAS
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State | AR
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Zip | 72455-1745
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Country | US
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Telephone | 870-378-3987
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 123957
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | R097519
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License Number State | AR
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