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General NPI Number Information
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NPI Number | 1740575075
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Entity Type | Individual
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Provider Name | DERAINEY R. SMITH FNP, DNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 437 HIGHWAY 62 EAST
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City | YELLVILLE
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State | AR
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Zip | 72687-4603
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Country | US
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Telephone | 870-449-9355
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Fax | 870-423-7178
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Provider Business Mailing Address
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Address Line | 437 HIGHWAY 62 EAST
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City | YELLVILLE
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State | AR
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Zip | 72687-2580
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Country | US
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Telephone | 870-449-9355
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Fax | 417-829-4316
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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 | A003560
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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 | A003560
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License Number State | AR
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