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General NPI Number Information
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NPI Number | 1619657988
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Entity Type | Organization
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Legal Business Name | BL PHYSICIAN HOME CARE SOLUTIONS PLLC
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 09/29/2023
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Provider Practice Location Address
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Address Line | 117 S MARKET ST STE 217
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City | BENTON
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State | AR
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Zip | 72015-4302
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Country | US
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Telephone | 312-208-9377
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2281
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City | BENTON
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State | AR
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Zip | 72018-2281
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Country | US
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Telephone | 877-429-3199
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Fax | 501-305-2817
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | LINDSEY PERRYMAN DUNN
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Credential | APRN
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Telephone | 312-208-9377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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