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General NPI Number Information
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NPI Number | 1710892286
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Entity Type | Individual
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Provider Name | HEATHER KAZY RN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 2201 N 50TH ST
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City | FORT SMITH
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State | AR
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Zip | 72904-5719
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Country | US
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Telephone | 479-785-2451
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Fax | 479-784-8177
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Provider Business Mailing Address
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Address Line | 620 LAUREL DR
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City | GREENWOOD
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State | AR
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Zip | 72936-5711
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Country | US
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Telephone |
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Fax |
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | R080105
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License Number State | AR
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