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General NPI Number Information
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NPI Number | 1750202180
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Entity Type | Individual
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Provider Name | CARA PRICE
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Gender | Female
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 1500 W MAIN ST
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City | WALNUT RIDGE
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State | AR
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Zip | 72476-1434
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Country | US
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Telephone | 870-886-9022
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Fax | 870-886-8001
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Provider Business Mailing Address
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Address Line | 877 LAWRENCE ROAD 222 WEST
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City | BLACK ROCK
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State | AR
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Zip | 72415
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Country | US
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Telephone | 870-637-4089
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | F06262107
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License Number State | AR
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