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General NPI Number Information
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NPI Number | 1558686402
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Entity Type | Individual
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Provider Name | REBECCA POWERS APN
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Gender | Female
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 2624 HIGHWAY 42
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City | CHERRY VALLEY
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State | AR
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Zip | 72324-8674
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Country | US
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Telephone | 870-442-2040
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Fax | 870-442-2042
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Provider Business Mailing Address
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Address Line | PO BOX 497
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City | AUGUSTA
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State | AR
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Zip | 72006-0497
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Country | US
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Telephone | 870-347-2534
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Fax | 870-347-3492
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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 | A03349
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ATP-000260
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License Number State | AR
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