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General NPI Number Information
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NPI Number | 1295506459
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Entity Type | Individual
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Provider Name | CARLY NUFER FNP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 2601 MCCAIN BLVD STE C
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72116-8013
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Country | US
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Telephone | 501-451-5155
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 COVINGTON WAY APT 1608
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City | CONWAY
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State | AR
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Zip | 72034-7178
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 125119
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 125119
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License Number State | AR
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