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General NPI Number Information
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NPI Number | 1316816861
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Entity Type | Organization
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Legal Business Name | ARKANSAS SLEEP AND WELLNESS LLC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 106 STONERIDGE DR
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City | SEARCY
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State | AR
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Zip | 72143-8462
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Country | US
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Telephone | 515-238-9044
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Fax |
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Provider Business Mailing Address
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Address Line | 106 STONERIDGE DR
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City | SEARCY
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State | AR
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Zip | 72143-8462
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Country | US
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Telephone | 515-238-9044
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | JENNIFER KRISTINE BROCK
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Credential | APRN
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Telephone | 515-238-9044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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