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NPI 1467256271

NPI 1467256271 : SKIN NP BY DAWN HOPPER PLLC : FORDYCE, AR

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General NPI Number Information
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    NPI Number           |    1467256271
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    Entity Type          |    Organization 
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    Legal Business Name  |    SKIN NP BY DAWN HOPPER PLLC 
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Dates
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    Enumeration Date     |    04/02/2025
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    Last Update Date     |    06/11/2025
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Provider Practice Location Address
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    Address Line         |    300 N CLIFTON ST 
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    City                 |    FORDYCE
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    State                |    AR
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    Zip                  |    71742-3055
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    Country              |    US
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    Telephone            |    870-890-4056
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    Fax                  |    870-890-4103
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Provider Business Mailing Address
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    Address Line         |    300 N CLIFTON ST 
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    City                 |    FORDYCE
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    State                |    AR
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    Zip                  |    71742-3055
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    Country              |    US
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    Telephone            |    870-890-4056
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DAWN  HOPPER 
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    Credential           |    NP
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    Telephone            |    870-723-1099
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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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