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General NPI Number Information
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NPI Number | 1588343529
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Entity Type | Individual
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Provider Name | NICOLE THERESE HARRELL APRN-CNP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 2719 SE I ST
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City | BENTONVILLE
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State | AR
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Zip | 72712-3996
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Country | US
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Telephone | 479-273-5437
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Fax | 479-273-9932
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Provider Business Mailing Address
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Address Line | 2601 GENE GEORGE BLVD
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City | SPRINGDALE
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State | AR
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Zip | 72762-0845
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Country | US
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Telephone | 479-725-6801
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Fax | 479-725-3577
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 221973
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License Number State | AR
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