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General NPI Number Information
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NPI Number | 1831598416
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Entity Type | Individual
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Provider Name | WILLIAM BOBBY REEVES LMSW
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Gender | Male
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1100 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 479-443-4301
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Fax |
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Provider Business Mailing Address
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Address Line | 602 N WALTON BLVD
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City | BENTONVILLE
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State | AR
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Zip | 72712-4576
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Country | US
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Telephone | 479-464-1060
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Fax | 479-271-6307
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7714-M
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License Number State | AR
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