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General NPI Number Information
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NPI Number | 1578452819
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Entity Type | Individual
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Provider Name | SYDNEY FORD MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 1103 COLLEGE DR
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City | MENA
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State | AR
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Zip | 71953-2519
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Country | US
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Telephone | 479-394-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 651 GOLDEN MEADOW AVE
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City | SPRINGDALE
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State | AR
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Zip | 72764-6648
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Country | US
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Telephone | 903-268-2615
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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 | 223695
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License Number State | AR
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