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General NPI Number Information
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NPI Number | 1801775879
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Entity Type | Organization
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Legal Business Name | CALLIE TALLEY CNP PLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 10036 HIGHWAY 358
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City | PARAGOULD
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State | AR
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Zip | 72450-9630
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Country | US
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Telephone | 870-253-8973
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Fax |
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Provider Business Mailing Address
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Address Line | 10036 HIGHWAY 358
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City | PARAGOULD
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State | AR
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Zip | 72450-9630
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Country | US
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Telephone | 870-253-8973
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Fax | 870-796-5995
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Authorized Official
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Title or Position | OWNER
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Name | DR. CALLIE ANN TALLEY
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Credential | DNP, APRN-BC
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Telephone | 870-253-8973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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