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General NPI Number Information
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NPI Number | 1821009994
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Entity Type | Individual
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Provider Name | JOYCE BROWER CREED ANP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 447 W GAINES ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4723
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Country | US
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Telephone | 870-367-6202
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Fax | 870-367-3013
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Provider Business Mailing Address
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Address Line | 2537 HIGHWAY 35 W
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City | MONTICELLO
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State | AR
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Zip | 71655-9270
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Country | US
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Telephone | 870-367-9142
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AO1123
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License Number State | AR
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