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General NPI Number Information
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NPI Number | 1720916117
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Entity Type | Individual
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Provider Name | CARLY E WEBB
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Gender | Female
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 1583 S SAINT LOUIS ST STE B
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City | BATESVILLE
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State | AR
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Zip | 72501-7627
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Country | US
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Telephone | 870-613-9995
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Fax |
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Provider Business Mailing Address
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Address Line | 4196 HIGHWAY 62 412 STE A
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City | HARDY
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State | AR
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Zip | 72542-8002
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 126035
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License Number State | AR
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