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General NPI Number Information
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NPI Number | 1700692183
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Entity Type | Individual
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Provider Name | CANDACE BARTROW APRN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 700 S SCHILLER ST STE 300
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City | LITTLE ROCK
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State | AR
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Zip | 72201-4735
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Country | US
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Telephone | 501-651-8477
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 414
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City | GREENBRIER
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State | AR
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Zip | 72058-0414
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Country | US
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Telephone | 501-679-0232
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Fax | 833-373-0348
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 230975
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License Number State | AR
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