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General NPI Number Information
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NPI Number | 1538951884
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Entity Type | Individual
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Provider Name | CHERYL HOLDEN D.H.SC., MSN-RN
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 3516 GLEN FLORA WAY
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City | FORT SMITH
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State | AR
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Zip | 72908-0719
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Country | US
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Telephone | 479-788-7399
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 GLEN FLORA WAY
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City | FORT SMITH
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State | AR
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Zip | 72908-0719
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Country | US
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Telephone | 479-788-7399
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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 | 163WC1400X
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Taxonomy Name | College Health Registered Nurse
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License Number | R039514
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License Number State | AR
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