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General NPI Number Information
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NPI Number | 1538020516
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Entity Type | Organization
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Legal Business Name | UP MEDICAL CARE LLC
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1285 ROYCE RD
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City | HENSLEY
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State | AR
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Zip | 72065-8101
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Country | US
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Telephone | 501-502-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 1285 ROYCE RD
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City | HENSLEY
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State | AR
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Zip | 72065-8101
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Country | US
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Telephone | 501-502-5121
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Fax |
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | MRS. NICHOLE BREANNE MCLEMORE
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Credential | APRN
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Telephone | 501-424-7068
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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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