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General NPI Number Information
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NPI Number | 1790933513
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Entity Type | Individual
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Provider Name | CHARL Y. BUXTON PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 125 WELLNESS WAY
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City | HOT SPRINGS
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State | AR
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Zip | 71913-6478
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Country | US
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Telephone | 501-620-5100
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Fax | 501-620-5325
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Provider Business Mailing Address
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Address Line | 10025 W MARKHAM ST STE 210
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2178
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Country | US
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Telephone | 501-663-5473
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Fax | 501-661-1812
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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 | A03582
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 601018T
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 601018
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License Number State | TX
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