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General NPI Number Information
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NPI Number | 1356204960
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Entity Type | Individual
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Provider Name | LAKEISHA M BARNUM
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 5512 DIVISION ST
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-2916
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Country | US
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Telephone | 501-519-0698
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Fax | 918-888-4481
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Provider Business Mailing Address
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Address Line | 5512 DIVISION ST
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City | NORTH LITTLE ROCK
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State | AR
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Zip | 72118-2916
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Country | US
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Telephone | 501-519-0698
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Fax | 918-888-4481
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | BL2025-03629
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License Number State | AR
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