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General NPI Number Information
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NPI Number | 1568544666
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Entity Type | Organization
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Legal Business Name | B. DARLENE BYRD, MNSC, APN, P.A.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14 TAHOE CT
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City | CABOT
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State | AR
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Zip | 72023-2883
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Country | US
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Telephone | 501-605-8110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1523
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City | CABOT
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State | AR
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Zip | 72023-1523
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Country | US
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Telephone | 501-605-8110
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. BARBARA DARLENE BYRD
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Credential | APN
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Telephone | 501-605-8110
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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 | A01161
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License Number State | AR
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