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General NPI Number Information
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NPI Number | 1598126427
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Entity Type | Individual
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Provider Name | REBEKKA LEE AMICK AGCNS-BC, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/20/2016
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 11300 FINANCIAL CENTRE PKWY
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3746
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Country | US
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Telephone | 501-614-2340
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Fax | 501-614-2349
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Provider Business Mailing Address
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Address Line | 4301 W MARKHAM ST # 783
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7101
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Country | US
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Telephone | 501-686-8000
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Fax | 501-526-5148
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 213001
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | S002315
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | S002315
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License Number State | AR
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