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NPI 1790716314

NPI 1790716314 : BILLY H NOEL APN : FORT SMITH, AR

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General NPI Number Information
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    NPI Number           |    1790716314
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    Entity Type          |    Individual 
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    Provider Name        |    BILLY H NOEL APN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/05/2006
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    Last Update Date     |    07/21/2023
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Provider Practice Location Address
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    Address Line         |    9207HWY 71 SUITE 8&9
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72916-4683
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    Country              |    US
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    Telephone            |    479-668-4778
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    Fax                  |    479-675-1391
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Provider Business Mailing Address
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    Address Line         |    9207 HIGHWAY 71 S STE 9 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72916-9389
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    Country              |    US
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    Telephone            |    479-668-4778
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    Fax                  |    479-675-1391
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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        |    163WG0000X
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    Taxonomy Name        |    General Practice Registered Nurse
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    License Number       |    A01824
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    License Number State |    AR
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