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General NPI Number Information
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NPI Number | 1669907408
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Entity Type | Organization
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Legal Business Name | AWARENESS CARE LLC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 900 S PINE ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-2073
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Country | US
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Telephone | 501-612-4406
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Fax |
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Provider Business Mailing Address
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Address Line | 900 S PINE ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-2073
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Country | US
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Telephone | 501-612-4406
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MISS ANTONETTE WILLIAMS
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Credential |
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Telephone | 501-681-3509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 300155
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License Number State | AR
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