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General NPI Number Information
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NPI Number | 1538156112
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Entity Type | Individual
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Provider Name | BETTY S PETERS MSN FNP
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Gender | Female
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 06/27/2008
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Provider Practice Location Address
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Address Line | 3560 HWY 7N SUITE C
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City | HOT SPRINGS
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State | AR
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Zip | 71909-6503
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Country | US
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Telephone | 501-318-9853
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Fax | 501-318-6175
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Provider Business Mailing Address
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Address Line | 238 SAN FELIPE RD
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City | HOT SPRINGS
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State | AR
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Zip | 71909-8893
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Country | US
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Telephone | 501-321-4362
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 139446
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License Number State | MO
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