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General NPI Number Information
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NPI Number | 1639989304
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Entity Type | Individual
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Provider Name | NICOLE LEA YODER NP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 1800 BYPASS RD
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-9135
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Country | US
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Telephone | 501-362-0500
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Fax | 501-362-0501
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Provider Business Mailing Address
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Address Line | 11001 EXECUTIVE CENTER DR STE 200
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City | LITTLE ROCK
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State | AR
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Zip | 72211-4393
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Country | US
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Telephone | 501-362-0500
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Fax | 501-362-0501
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 226258
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License Number State | AR
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