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General NPI Number Information
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NPI Number | 1316322787
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Entity Type | Individual
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Provider Name | ALISA DANIELLE RUFFNER DNP
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Gender | Female
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1636 HIGDON FERRY RD
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6912
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Country | US
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Telephone | 501-651-2000
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Fax | 501-651-2394
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Provider Business Mailing Address
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Address Line | 6031 CHARLEY PL
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City | BENTON
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State | AR
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Zip | 72019-8937
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Country | US
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Telephone | 501-651-2000
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Fax | 501-651-2394
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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 | A004449
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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 | 084250
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | A004449
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License Number State | AR
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