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General NPI Number Information
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NPI Number | 1851483622
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Entity Type | Individual
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Provider Name | DEAN B PRIEST JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 213 W MONROE AVE STE Q
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City | LOWELL
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State | AR
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Zip | 72745-9451
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Country | US
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Telephone | 479-320-7100
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Fax | 844-886-6851
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Provider Business Mailing Address
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Address Line | 213 W MONROE AVE STE Q
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City | LOWELL
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State | AR
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Zip | 72745-9451
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Country | US
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Telephone | 479-320-7100
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Fax | 844-886-6851
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | E2352
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | E2352
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License Number State | AR
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