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General NPI Number Information
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NPI Number | 1306870068
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Entity Type | Individual
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Provider Name | ANGELA R DRISKILL MD
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 3333 SPRINGHILL DR STE 2002
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72117-2922
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Country | US
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Telephone | 501-202-3638
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Fax | 501-202-3639
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Provider Business Mailing Address
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Address Line | PO BOX 15453
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City | LITTLE ROCK
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State | AR
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Zip | 72231-5453
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Country | US
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Telephone | 501-202-3638
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Fax | 501-202-3639
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-0539
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2083P0011X
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Taxonomy Name | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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License Number | E-0539
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License Number State | AR
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