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General NPI Number Information
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NPI Number | 1790054864
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Entity Type | Individual
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Provider Name | APRIL LYNN CARR PA
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Gender | Female
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 2103 SLACK STREET
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City | PEA RIDGE
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State | AR
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Zip | 72751
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Country | US
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Telephone | 479-765-1980
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Fax | 479-765-1982
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Provider Business Mailing Address
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Address Line | 303 NW LASALLE DRIVE
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City | BENTONVILLE
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State | AR
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Zip | 72712
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Country | US
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Telephone | 816-456-3690
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Fax | 913-469-1939
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2011038211
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PT2025-020
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License Number State | AR
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