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General NPI Number Information
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NPI Number | 1538825443
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Entity Type | Individual
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Provider Name | BRITTEN WAYNE WILLIAMS APRN
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Gender | Male
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Dates
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Enumeration Date | 11/15/2021
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 303 E MATTHEWS AVE STE 100
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City | JONESBORO
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State | AR
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Zip | 72401-3113
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Country | US
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Telephone | 870-207-2926
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Fax |
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Provider Business Mailing Address
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Address Line | 619 GREENE 712 RD
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City | PARAGOULD
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State | AR
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Zip | 72450-8275
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Country | US
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Telephone | 870-565-8190
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 214690
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License Number State | AR
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