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General NPI Number Information
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NPI Number | 1508486150
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Entity Type | Individual
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Provider Name | MRS. MACI STEELE
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Gender | Female
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 04/23/2020
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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 | 870-864-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 159 UNION ROAD 295
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City | EL DORADO
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State | AR
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Zip | 71730-2253
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Country | US
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Telephone | 870-315-4465
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | R104012
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License Number State | AR
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