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NPI 1861205460

NPI 1861205460 : ABODE CARE PARTNERS AL VB, LLC : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1861205460
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABODE CARE PARTNERS AL VB, LLC 
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Dates
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    Enumeration Date     |    01/28/2025
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    200 RIVER MARKET AVE STE 100 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72201-1762
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    Country              |    US
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    Telephone            |    800-807-6555
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    Fax                  |    855-316-2999
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Provider Business Mailing Address
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    Address Line         |    805 N WHITTINGTON PKWY 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40222-7101
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    Country              |    US
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    Telephone            |    502-394-2100
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    Fax                  |    502-568-7136
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Authorized Official
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    Title or Position    |    SECRETARY
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    Name                 |     ALLISON  BROWN 
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    Credential           |    
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    Telephone            |    502-394-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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