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General NPI Number Information
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NPI Number | 1689166886
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Entity Type | Individual
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Provider Name | SCHASTA LYN HIBBS APRN
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1308 E PAGE AVE
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City | MALVERN
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State | AR
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Zip | 72104-4518
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Country | US
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Telephone | 501-337-9820
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Fax |
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Provider Business Mailing Address
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Address Line | 128 HARMONY PARK CIR STE 100
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City | HOT SPRINGS NATIONAL PARK
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State | AR
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Zip | 71913-5404
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Country | US
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Telephone | 501-881-4988
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Fax | 501-881-4788
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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 | A0005646
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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 | A005646
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License Number State | AR
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