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General NPI Number Information
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NPI Number | 1528560513
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Entity Type | Individual
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Provider Name | RICKEY EDNA MACK CNP
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Gender | Female
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 1016 N FOURCHE AVE
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City | PERRYVILLE
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State | AR
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Zip | 72126-8545
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Country | US
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Telephone | 501-238-1284
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Fax | 501-679-8970
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Provider Business Mailing Address
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Address Line | 4196 HIGHWAY 62 412 STE A
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City | HARDY
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State | AR
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Zip | 72542-8002
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Country | US
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Telephone |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | A005560
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License Number State | AR
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