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General NPI Number Information
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NPI Number | 1366303570
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Entity Type | Individual
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Provider Name | TERRY SKINNER JR. APRN-BC
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Gender |
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 807 SW 3RD ST
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City | ATKINS
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State | AR
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Zip | 72823-4709
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Country | US
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Telephone | 479-264-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 807 SW 3RD ST
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City | ATKINS
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State | AR
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Zip | 72823-4709
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Country | US
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Telephone | 479-264-5720
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 235244
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License Number State | AR
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