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General NPI Number Information
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NPI Number | 1396706180
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Entity Type | Individual
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Provider Name | CYNTHIA T NELSON APN
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Gender | Female
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | ONE MERCY LANE, SUITE 405
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6441
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Country | US
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Telephone | 501-622-3979
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Fax | 501-622-3993
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Provider Business Mailing Address
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Address Line | PO BOX 21850
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City | HOT SPRINGS
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State | AR
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Zip | 71903-1850
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Country | US
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Telephone | 501-622-3979
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Fax | 501-622-3993
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A01310 ANP
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A01310
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License Number State | AR
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