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General NPI Number Information
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NPI Number | 1346514403
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Entity Type | Individual
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Provider Name | KARRI JO MITCHELL A.P.N.
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Gender | Female
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 1012B E 22ND ST
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City | STUTTGART
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State | AR
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Zip | 72160-6825
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Country | US
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Telephone | 870-672-0911
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Fax | 870-672-0914
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Provider Business Mailing Address
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Address Line | 59 ALLEN WATKINS LN
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City | DE WITT
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State | AR
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Zip | 72042-9506
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Country | US
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Telephone | 870-946-2668
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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 | A03642
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License Number State | AR
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