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General NPI Number Information
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NPI Number | 1639774722
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Entity Type | Organization
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Legal Business Name | AJ'S HEALTH & WELLNESS ENTERPRISES PLLC
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 1400 W 43RD AVE
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City | PINE BLUFF
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State | AR
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Zip | 71603-7010
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Country | US
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Telephone | 870-413-9968
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Fax | 870-535-0594
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Provider Business Mailing Address
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Address Line | 1400 W 43RD AVE
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City | PINE BLUFF
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State | AR
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Zip | 71603-7010
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Country | US
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Telephone | 870-413-9968
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Fax | 870-535-0594
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DR. ASHLEY DANIELLE JAMES
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Credential | DNP, APRN
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Telephone | 870-413-9968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 364SC0200X
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Taxonomy Name | Critical Care Medicine Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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