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General NPI Number Information
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NPI Number | 1588529044
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Entity Type | Individual
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Provider Name | KIMBERLY CALDWELL
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Gender | Female
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 1008 W CHILDRESS ST
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City | MORRILTON
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State | AR
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Zip | 72110-1708
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Country | US
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Telephone | 501-354-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 109 STRAIT ST
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City | MORRILTON
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State | AR
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Zip | 72110-1837
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Country | US
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Telephone |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 233196
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License Number State | AR
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