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General NPI Number Information
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NPI Number | 1861355356
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Entity Type | Individual
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Provider Name | MR. DYLON A SCHEELE
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Gender | Male
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 225 S MAIN ST
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City | HOPE
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State | AR
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Zip | 71801-4319
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Country | US
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Telephone | 870-701-5183
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S COLLEGE ST STE 4
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City | MOUNTAIN HOME
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State | AR
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Zip | 72653-3991
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Country | US
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Telephone | 870-701-5183
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | AR
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