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General NPI Number Information
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NPI Number | 1598463135
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Entity Type | Individual
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Provider Name | DANYALE NORMAN
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Gender | Male
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Dates
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Enumeration Date | 02/22/2023
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 106 W 2ND ST STE A
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City | MALVERN
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State | AR
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Zip | 72104-3702
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Country | US
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Telephone | 501-732-5772
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Fax |
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Provider Business Mailing Address
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Address Line | 224 MAGNET COVE RD
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City | MALVERN
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State | AR
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Zip | 72104-7905
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Country | US
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Telephone | 501-732-5772
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 5816
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License Number State | AR
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