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General NPI Number Information
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NPI Number | 1609333806
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Entity Type | Individual
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Provider Name | VICKY KAY ONCKEN MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 02/23/2019
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 107 PROGRESS WAY STE 505
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City | BRYANT
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State | AR
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Zip | 72022-9282
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Country | US
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Telephone | 501-326-3889
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Fax |
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Provider Business Mailing Address
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Address Line | 1139 JD LN
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City | BAUXITE
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State | AR
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Zip | 72011-9440
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Country | US
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Telephone | 501-463-1006
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A006018
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License Number State | AR
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