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General NPI Number Information
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NPI Number | 1427862457
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Entity Type | Individual
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Provider Name | AMBER JENEA LOVE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 700 W GROVE ST
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City | EL DORADO
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State | AR
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Zip | 71730-4416
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Country | US
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Telephone | 870-863-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 107 STONEY CREEK DR
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City | EL DORADO
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State | AR
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Zip | 71730-6076
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Country | US
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Telephone | 870-918-9629
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | R078463
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | R078463
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 163WF0300X
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Taxonomy Name | Flight Registered Nurse
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License Number | R078463
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License Number State | AR
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 230779
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License Number State | AR
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