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General NPI Number Information
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NPI Number | 1689539462
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Entity Type | Individual
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Provider Name | MADISON GRACE ROBBINS
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Gender | Female
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 205 WESTPORT DR
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City | CABOT
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State | AR
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Zip | 72023-3657
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Country | US
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Telephone | 501-843-6585
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Fax | 501-843-2380
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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 | 501-812-7215
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Fax | 501-812-7207
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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 | 212480
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License Number State | AR
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