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General NPI Number Information
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NPI Number | 1487221537
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Entity Type | Individual
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Provider Name | ARIELLE HOLLOWAY NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 655 DAVE WARD DR STE 103
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City | CONWAY
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State | AR
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Zip | 72034-7145
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Country | US
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Telephone | 501-209-4040
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Fax | 501-205-1776
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Provider Business Mailing Address
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Address Line | 655 DAVE WARD DR STE 103
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City | CONWAY
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State | AR
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Zip | 72034-7145
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Country | US
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Telephone | 501-209-4040
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Fax | 501-205-1776
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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 | 216223
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R104399
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License Number State | AR
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