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General NPI Number Information
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NPI Number | 1639370646
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Entity Type | Organization
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Legal Business Name | ARKADELPHIA HEALTH AND FAMILY CLINIC, LLC
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 208 N 26TH ST SUITE C
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City | ARKADELPHIA
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State | AR
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Zip | 71923-4337
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Country | US
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Telephone | 870-246-1652
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Fax | 870-246-6995
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Provider Business Mailing Address
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Address Line | 208 N 26TH ST SUITE C
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City | ARKADELPHIA
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State | AR
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Zip | 71923-4337
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Country | US
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Telephone | 870-246-1652
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Fax | 870-246-6995
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Authorized Official
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Title or Position | ADVANCED PRACTICE NURSE
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Name | MISS AIMEE MONETTE HUGHES
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Credential | A.P.N.
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Telephone | 870-246-1652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P05803019
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A01539
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C8415
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License Number State | AR
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