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General NPI Number Information
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NPI Number | 1619210754
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Entity Type | Individual
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Provider Name | DANA BEIERLE CNP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 01/14/2017
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Provider Practice Location Address
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Address Line | 3057 SPRINGDALE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-4346
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Country | US
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Telephone | 479-757-5540
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Fax |
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Provider Business Mailing Address
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Address Line | 3057 SPRINGDALE AVE
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City | SPRINGDALE
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State | AR
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Zip | 72762-4346
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Country | US
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Telephone | 479-757-5540
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 17518
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | A004365
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License Number State | AR
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