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General NPI Number Information
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NPI Number | 1679064315
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Entity Type | Individual
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Provider Name | DANA HOWARD BEARD LPC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | REMINGTON PLAZA 75 HIGHWAY 62/412
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City | ASH FLAT
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State | AR
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Zip | 72513-9629
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Country | US
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Telephone | 870-994-7060
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Fax | 870-994-7063
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Provider Business Mailing Address
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Address Line | 1815 PLEASANT GROVE ROAD
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City | JONEBORO
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State | AR
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Zip | 72405-7870
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Country | US
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Telephone | 870-933-6886
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Fax | 870-933-9395
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A1807077
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P2011110
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License Number State | AR
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