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General NPI Number Information
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NPI Number | 1427929884
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Entity Type | Organization
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Legal Business Name | INVIGORATE WEIGHT LOSS & WELLNESS
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 905 20TH ST
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City | BATESVILLE
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State | AR
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Zip | 72501-7008
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Country | US
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Telephone | 501-288-9651
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Fax | 501-441-2325
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Provider Business Mailing Address
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Address Line | 304 E MAIN ST
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City | CABOT
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State | AR
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Zip | 72023-3035
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Country | US
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Telephone | 501-288-9651
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Fax | 501-441-2325
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Authorized Official
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Title or Position | APRN
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Name | CHRISTINE PENNINGTON
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Credential | APRN
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Telephone | 501-288-9651
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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 |
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License Number State |
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